Organization
AL-SAMARRAI DMD INC
Active
Other names
Copper Canyon Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAKAM AL-SAMARRAI DMD (PRESIDENT)
(661) 775-8822
Entity
Organization
Contact information
Practice address
28212 KELLY JOHNSON PKWY STE 220, VALENCIA, CA 91355-5090
(661) 775-8822
(661) 775-8311
Mailing address
28212 KELLY JOHNSON PKWY STE 220, VALENCIA, CA 91355-5090
(661) 775-8822
(661) 775-8311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/20/2019
Last updated
10/08/2024
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