# ERIC J. SWENSEN, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Copper Vista Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841715406
- **Authorized official:** RITA VALENCIA (OFFICE MANAGER)
- **Authorized official phone:** (928) 425-8175

## Contact information

- **Practice address:** 1450 E SOUTH ST STE 3, GLOBE, AZ 85501-1473
- **Practice address phone:** (928) 425-8175
- **Mailing address:** 1450 E SOUTH ST STE 3, GLOBE, AZ 85501-1473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2017
- **Last updated:** 08/04/2017