Organization
NORTERRA DENTAL GROUP AND ORTHODONTICS, LLP
Active
Other names
Norterra Dental Group and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD R COCKRELL DMD (OWNER DOCTOR)
(623) 581-7031
Entity
Organization
Contact information
Practice address
2217 WEST HAPPY VALLEY ROAD, SUITE 100, PHOENIX, AZ 85086
(623) 581-7031
(623) 582-3794
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/03/2009
Last updated
02/08/2022
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