Organization
ERIC J. SWENSEN, DDS, PLLC
Active
Other names
Copper Vista Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
RITA VALENCIA (OFFICE MANAGER)
(928) 425-8175
Entity
Organization
Contact information
Practice address
1450 E SOUTH ST STE 3, GLOBE, AZ 85501-1473
(928) 425-8175
Mailing address
1450 E SOUTH ST STE 3, GLOBE, AZ 85501-1473
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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