# GEORGEI DENTAL GROUP

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

## Provider details

- **NPI number:** 1881095115
- **Authorized official:** RANIA GEORGEI (OWNER/DDS)
- **Authorized official phone:** (951) 691-5096

## Contact information

- **Practice address:** 23771 WASHINGTON AVE STE H102, MURRIETA, CA 92562-2265
- **Practice address phone:** (951) 691-5096
- **Practice address fax:** (951) 691-5097
- **Mailing address:** 23771 WASHINGTON AVE STE H102, MURRIETA, CA 92562-2265
- **Mailing address phone:** (951) 691-5096
- **Mailing address fax:** (951) 691-5097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 53453 | CA | Yes |

## Other

- **Enumeration date:** 09/05/2014
- **Last updated:** 10/08/2014