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Organization
COPPERMINE MADERA CANYON LLC
Active
Organization
COPPERMINE MADERA CANYON LLC
Active
Other names
Coppermine Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA ROCHA (SR TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
685 S PECAN TREE LN, GREEN VALLEY, AZ 85614-5114
(520) 625-1600
(520) 838-0865
Mailing address
685 S PECAN TREE LN, GREEN VALLEY, AZ 85614-5114
(520) 625-1600
(520) 838-0865
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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