Individual
DR. CLAUDIO COSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
500 N ESTRELLA PKWY, GOODYEAR, AZ 85338-4135
(623) 688-5408
Mailing address
4545 W BEARDSLEY RD APT 2058, GLENDALE, AZ 85308-5078
(907) 444-0806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011077
AZ
1223G0001X
General Practice Dentistry
D011077
AZ
Other
Enumeration date
06/23/2021
Last updated
09/25/2023
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