NPI | 1457005381 |
---|---|
Doing Business As | COPPER CREEK DENTAL |
Entity Type | Organization |
Authorized Contact | DARREN REED BROWER Owner/Dentist 480-739-8929 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-02-09 |
Last Update Date | 2022-02-09 |