Coppermine Dental Studio at Madera Canyon Pllc
NPI #1811479074 in Green Valley, Arizona
Provider Information
- NPI Number
- 1811479074
- Entity Type
- Organization
- Organization Name
- Coppermine Dental Studio at Madera Canyon Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JUSTIN DUTTON DMD PC
- Primary Specialty
- Dentist
- Enumeration Date
- Sep 4, 2018
- Last Updated
- Sep 4, 2018
Practice Location
- Address
- 685 S PECAN TREE LN
- City
- Green Valley
- State
- Arizona
- ZIP Code
- 85614-5114
- Phone
- (520) 625-1600
Authorized Official
- Name
- DR. JUSTIN DUTTON, DMD
- Title
- MANAGING MEMBER
- Phone
- (520) 839-0600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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