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Organization
PLEASANT DENTAL PARTNERS PC
Active
Organization
PLEASANT DENTAL PARTNERS PC
Active
Other names
Nice Nice Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP LUTHER COOKE D.D.S. (PRESIDENT)
(623) 825-0616
Entity
Organization
Contact information
Practice address
9772 W YEARLING RD STE A1680, PEORIA, AZ 85383-1380
(623) 825-0616
(623) 825-0786
Mailing address
9772 W YEARLING RD STE A1680, PEORIA, AZ 85383-1380
(623) 825-0616
(623) 825-0786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D2700
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245265032
INDIVIDUAL NPI NUMBER
AZ
Enumeration date
01/11/2012
Last updated
01/12/2012
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