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Organization

ARIZONA DENTAL PROFESSIONALS, P.C.

Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Kokopelli Family Dentistry
Organization subpart
Yes

Provider details

NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
CARMEN WOODS (INSURANCE COORDINATOR)
(217) 540-5100
Entity
Organization

Contact information

Practice address
1327 E CHANDLER BLVD STE 105, PHOENIX, AZ 85048-6272
(480) 283-0733
(480) 283-0513
Mailing address
1327 E CHANDLER BLVD STE 105, PHOENIX, AZ 85048-6272
(480) 283-0733
(480) 283-0513

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
01/17/2011
Last updated
02/04/2014
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