Individual
DR. TODD COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1619 N DYSART RD, SUITE 105, AVONDALE, AZ 85392-1200
(623) 935-6278
(623) 935-6285
Mailing address
2860 MICHELLE DRIVE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 508-3600
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7270
AZ
1223G0001X
General Practice Dentistry
D9714
OR
Other
Enumeration date
06/29/2007
Last updated
05/14/2012
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