| NPI | 1689005456 |
|---|---|
| Doing Business As | COPPER CANYON DENTAL |
| Entity Type | Organization |
| Authorized Contact | MITCHELL R LEPETICH Owner 480-553-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 7602) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |