Organization
COPPER CANYON FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENYSE CARTER (OFFICE MANAGER)
(480) 688-7348
Entity
Organization
Contact information
Practice address
26 W SALT MINE RD, CAMP VERDE, AZ 86322-7170
(480) 734-9784
Mailing address
PO BOX 5682, LK MONTEZUMA, AZ 86342-5682
(480) 688-7348
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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