Copper Canyon Smiles
Dentist, General Practice in Murrieta, CA. Organization (NPI-2).
NPI number1669908893
StatusActive
Last updated in NPPESMay 9, 2017
Details
- NPI
- 1669908893
- Entity type
- Organization (NPI-2)
- Legal business name
- Copper Canyon Smiles
- Organization subpart
- No
- Enumeration date
- May 9, 2017
- Last updated
- May 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 53453 | CA | Yes |
Practice location
23771 Washington AveSuite H102
Murrieta, CA 92562-2278
Phone 951-691-5096 · Fax 951-691-5097
Mailing address
23771 Washington AveSuite H102
Murrieta, CA 92562-2278
Phone 951-691-5096 · Fax 951-691-5097
Authorized official
Crystal Quintero
Biller
9516915096
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