Individual
DR. DANIEL JAMES KOTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3603 W CORTARO FARMS RD STE 113, TUCSON, AZ 85742-1219
(520) 572-1593
(520) 572-0793
Mailing address
3603 W CORTARO FARMS RD STE 113, TUCSON, AZ 85742-1219
(520) 572-1593
(520) 572-0793
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4718
AZ
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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