| Copper State Dentistry Llc | |
|
857 E Warner Rd Ste 103 Gilbert AZ 85296-3076 | |
| (480) 690-5200 | |
| Not Available |
| Full Name | Copper State Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 857 E Warner Rd Ste 103, Gilbert, Arizona |
| Authorized Official Name and Position | Kyle Womeldorff (OWNER) |
| Authorized Official Contact | 4806905200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Copper State Dentistry Llc 14242 S 47th St Phoenix AZ 85044-6205 Ph: () - | Copper State Dentistry Llc 857 E Warner Rd Ste 103 Gilbert AZ 85296-3076 Ph: (480) 690-5200 |
| NPI Number | 1760264816 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 10/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760264816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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