# AL-SAMARRAI DMD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Copper Canyon Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851948327
- **Authorized official:** DR. HAKAM AL-SAMARRAI DMD (PRESIDENT)
- **Authorized official phone:** (661) 775-8822

## Contact information

- **Practice address:** 28212 KELLY JOHNSON PKWY STE 220, VALENCIA, CA 91355-5090
- **Practice address phone:** (661) 775-8822
- **Practice address fax:** (661) 775-8311
- **Mailing address:** 28212 KELLY JOHNSON PKWY STE 220, VALENCIA, CA 91355-5090
- **Mailing address phone:** (661) 775-8822
- **Mailing address fax:** (661) 775-8311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 332BC3200X | Customized Equipment (DME) | — | — | — |

## Other

- **Enumeration date:** 08/20/2019
- **Last updated:** 10/08/2024