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Organization
NORTERRA DENTAL GROUP AND ORTHODONTICS, LLP
Active
Organization
NORTERRA DENTAL GROUP AND ORTHODONTICS, LLP
Active
Other names
Norterra Dental Group and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD R COCKRELL DMD (OWNER DOCTOR)
(623) 581-7031
Entity
Organization
Contact information
Practice address
2217 WEST HAPPY VALLEY ROAD, SUITE 100, PHOENIX, AZ 85086
(623) 581-7031
(623) 582-3794
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/03/2009
Last updated
02/08/2022
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