NPI | 1942553920 |
---|---|
Other Name | COPPERMINE CHAPTER-DENTAL |
Entity Type | Organization |
Authorized Contact | JOSEPH T ENGELKEN CEO 928-283-2501 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2012-10-16 |
Last Update Date | 2012-10-24 |