| NPI | 1386126548 |
|---|---|
| Doing Business As | COPPERMINE DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | JUSTIN DUTTON President 520-838-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |