Organization
COTTON LANE DENTISTRY, LLP
Active
Other names
Cotton Lane Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED KHAKWANI DMD (OWNER)
(623) 738-0312
Entity
Organization
Contact information
Practice address
17200 W PEORIA AVENUE, STE 116, SURPRISE, AZ 85388
(623) 738-0313
(623) 748-0353
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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