Organization
MARKET STREET DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE M. KOPSKY DDS (OWNER)
(480) 563-0069
Entity
Organization
Contact information
Practice address
20875 N PIMA RD STE 105, SCOTTSDALE, AZ 85255-9194
(480) 563-0069
Mailing address
20875 N PIMA RD STE 105, SCOTTSDALE, AZ 85255-9194
(480) 563-0069
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D04171
AZ
1223G0001X
General Practice Dentistry
D07598
AZ
1223P0700X
Prosthodontics
D04516
AZ
124Q00000X
Dental Hygienist
D06018
AZ
124Q00000X
Dental Hygienist
H04081
AZ
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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