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Organization
SHERWOOD MODERN DENTISTRY, PC
Active
Organization
SHERWOOD MODERN DENTISTRY, PC
Active
Other names
Sherwood Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD R COCKRELL DMD (OWNER)
(503) 625-2538
Entity
Organization
Contact information
Practice address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Mailing address
21332 SW LANGER FARMS PKWY, SUITE 126, SHERWOOD, OR 97140
(503) 625-2538
(503) 625-6903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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