| Copper Canyon Dentistry | |
|
28212 Kelly Johnson Pkwy Ste 220 Valencia CA 91355-5090 | |
| (661) 775-8822 | |
| (661) 775-8311 |
| Full Name | Copper Canyon Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 28212 Kelly Johnson Pkwy Ste 220, Valencia, California |
| Authorized Official Name and Position | Hakam Al-samarrai (PRESIDENT) |
| Authorized Official Contact | 6617758822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Copper Canyon Dentistry 28212 Kelly Johnson Pkwy Ste 220 Valencia CA 91355-5090 Ph: (661) 775-8822 | Copper Canyon Dentistry 28212 Kelly Johnson Pkwy Ste 220 Valencia CA 91355-5090 Ph: (661) 775-8822 |
| NPI Number | 1851948327 |
|---|---|
| Provider Enumeration Date | 08/20/2019 |
| Last Update Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851948327 | NPI | - | NPPES |
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