Organization
COPPERMINE MADERA CANYON LLC
Active
Other names
Coppermine Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA ROCHA (SR TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
685 S PECAN TREE LN, GREEN VALLEY, AZ 85614-5114
(520) 625-1600
(520) 838-0865
Mailing address
685 S PECAN TREE LN, GREEN VALLEY, AZ 85614-5114
(520) 625-1600
(520) 838-0865
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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