| Cotton Lane Dentistry, Llp | |
|
17200 W Peoria Avenue, Ste 116 Surprise AZ 85388 | |
| (623) 738-0313 | |
| (623) 748-0353 |
| Full Name | Cotton Lane Dentistry, Llp |
|---|---|
| Speciality | Dentist |
| Location | 17200 W Peoria Avenue, Ste 116, Surprise, Arizona |
| Authorized Official Name and Position | Mohammed Khakwani (OWNER) |
| Authorized Official Contact | 6237380312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cotton Lane Dentistry, Llp Po Box 920050 Dallas TX 75392-0050 Ph: () - | Cotton Lane Dentistry, Llp 17200 W Peoria Avenue, Ste 116 Surprise AZ 85388 Ph: (623) 738-0313 |
| NPI Number | 1326729237 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 07/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326729237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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