Organization
COTTONWOOD CHILDREN'S DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDD WASDEN (MANAGER)
(720) 530-1198
Entity
Organization
Contact information
Practice address
10 N ALAMOS DR, COTTONWOOD, AZ 86326-4020
(928) 634-6641
Mailing address
10 N ALAMOS DR, COTTONWOOD, AZ 86326-4020
(928) 634-6641
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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