NPI | 1477753630 |
---|---|
Doing Business As | COPPER STAR DENTISTRY |
Entity Type | Organization |
Authorized Contact | PAUL KEVIN OWENS Owner 623-583-7075 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4630) |
Enumeration Date | 2007-07-24 |
Last Update Date | 2007-07-24 |