| NPI | 1912395302 |
|---|---|
| Doing Business As | COPPER CANYON FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SETH STOCKTON Owner 505-830-9081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2016-10-14 |