| Coppermine Dental Studio At Madera Canyon Pllc | |
|
685 S Pecan Tree Ln Green Valley AZ 85614-5114 | |
| (520) 625-1600 | |
| Not Available |
| Full Name | Coppermine Dental Studio At Madera Canyon Pllc |
|---|---|
| Speciality | Dentist |
| Location | 685 S Pecan Tree Ln, Green Valley, Arizona |
| Authorized Official Name and Position | Justin Dutton (MANAGING MEMBER) |
| Authorized Official Contact | 5208390600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coppermine Dental Studio At Madera Canyon Pllc 685 S Pecan Tree Ln Green Valley AZ 85614-5114 Ph: (520) 625-1600 | Coppermine Dental Studio At Madera Canyon Pllc 685 S Pecan Tree Ln Green Valley AZ 85614-5114 Ph: (520) 625-1600 |
| NPI Number | 1811479074 |
|---|---|
| Provider Enumeration Date | 09/04/2018 |
| Last Update Date | 09/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811479074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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