| 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 | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2024-10-08 |