Organization
COPPERMINE DENTAL STUDIO AT MADERA CANYON 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) 839-0600
Entity
Organization
Contact information
Practice address
685 S PECAN TREE LN, GREEN VALLEY, AZ 85614-5114
(520) 625-1600
Mailing address
685 S PECAN TREE LN, GREEN VALLEY, AZ 85614-5114
(520) 625-1600
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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