Coppermine Madera Canyon LLC
NPI #1679326938 in Green Valley, Arizona
Provider Information
- NPI Number
- 1679326938
- Entity Type
- Organization
- Organization Name
- Coppermine Madera Canyon LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 8, 2024
- Last Updated
- Apr 8, 2024
Practice Location
- Address
- 685 S PECAN TREE LN
- City
- Green Valley
- State
- Arizona
- ZIP Code
- 85614-5114
- Phone
- (520) 625-1600
Authorized Official
- Name
- JENNY GARCIA ROCHA
- Title
- SR TEAM LEAD
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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