| NPI | 1851948327 |
|---|---|
| Doing Business As | COPPER CANYON DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HAKAM AL-SAMARRAI President 661-775-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |