Organization
COPPER BASIN ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH COCHELL (INSURANCE COORDINATOR)
(480) 924-2369
Entity
Organization
Contact information
Practice address
2680 S VAL VISTA DR STE 164, GILBERT, AZ 85295-1638
(480) 855-3223
Mailing address
2680 S VAL VISTA DR STE 164, GILBERT, AZ 85295-1638
(480) 855-3223
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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