| NPI | 1033431085 |
|---|---|
| Doing Business As | COPPER CANYON DENTAL |
| Entity Type | Organization |
| Authorized Contact | TARA EAGAR Front Office Manager 480-553-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D7240) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ D7758) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |