| 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 |