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Organization

MITCHELL LEPETICH DMD, PLC

Active
Other names
Copper Canyon Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MITCHELL R LEPETICH DMD (OWNER)
(480) 553-9909
Entity
Organization

Contact information

Practice address
2680 S VAL VISTA DR STE 125, GILBERT, AZ 85295-2154
(480) 553-9909
(480) 553-9905
Mailing address
2680 S VAL VISTA DR STE 125, GILBERT, AZ 85295-2154
(480) 553-9909
(480) 553-9905

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7602
AZ

Other

Enumeration date
12/04/2013
Last updated
12/04/2013
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