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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

Other

Enumeration date
11/07/2018
Last updated
11/07/2018
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