| NPI | 1801937230 |
|---|---|
| Doing Business As | COPPER CANYON SMILES |
| Entity Type | Organization |
| Authorized Contact | HOMAYOUN POURSHIRAZI Doctor 951-691-5096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44064) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |