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Organization
KOKOPELLI FAMILY AND COSMETIC DENTAL PLLC
Active
Organization
KOKOPELLI FAMILY AND COSMETIC DENTAL PLLC
Active
Other names
Kokopelli Family and Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SUPREET SINGH NAGI (OWNER)
(480) 628-6374
Entity
Organization
Contact information
Practice address
1327 E CHANDLER BLVD STE 105, PHOENIX, AZ 85048-6272
(480) 283-0733
Mailing address
1323 E SARAGOSA ST, CHANDLER, AZ 85225-2094
(480) 628-6374
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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