Organization
PLEASANT DENTAL PARTNERS PC
Active
Other names
Nice Nice Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP LUTHER COOKE D.D.S. (PRESIDENT)
(623) 825-0616
Entity
Organization
Contact information
Practice address
9772 W YEARLING RD STE A1680, PEORIA, AZ 85383-1380
(623) 825-0616
(623) 825-0786
Mailing address
9772 W YEARLING RD STE A1680, PEORIA, AZ 85383-1380
(623) 825-0616
(623) 825-0786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D2700
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245265032
INDIVIDUAL NPI NUMBER
AZ
Enumeration date
01/11/2012
Last updated
01/12/2012
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