Individual
DR. JONATHAN KOERPERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9304 E RAINTREE DR, SUITE 130, SCOTTSDALE, AZ 85260-7306
(480) 551-9900
Mailing address
9304 E RAINTREE DR, SUITE 130, SCOTTSDALE, AZ 85260-7306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5421
AZ
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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