| NPI | 1881095115 |
|---|---|
| Doing Business As | COPPER CANYON SMILES |
| Entity Type | Organization |
| Authorized Contact | RANIA GEORGEI Owner/Dds 951-691-5096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 53453) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-10-08 |