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Organization

COPPERMINE DENTAL STUDIO AT RANCHO SAHUARITA PLLC

Active
Parent organization
JUSTIN DUTTON DMD PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
JUSTIN DUTTON DMD PC
Authorized official
DR. JUSTIN DUTTON DMD (MANAGING MEMBER)
(520) 838-0600
Entity
Organization

Contact information

Practice address
15920 S RANCHO SAHUARITA BLVD STE 100, SAHUARITA, AZ 85629-8013
(520) 838-0600
(520) 838-0865
Mailing address
15920 S RANCHO SAHUARITA BLVD STE 100, SAHUARITA, AZ 85629-8013
(520) 838-0600
(520) 838-0865

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
09/04/2018
Last updated
09/04/2018
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