| Kokopelli Family And Cosmetic Dental Pllc | |
|
1327 E Chandler Blvd Ste 105 Phoenix AZ 85048-6272 | |
| (480) 283-0733 | |
| Not Available |
| Full Name | Kokopelli Family And Cosmetic Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1327 E Chandler Blvd Ste 105, Phoenix, Arizona |
| Authorized Official Name and Position | Supreet Singh Nagi (OWNER) |
| Authorized Official Contact | 4806286374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kokopelli Family And Cosmetic Dental Pllc 1323 E Saragosa St Chandler AZ 85225-2094 Ph: (480) 628-6374 | Kokopelli Family And Cosmetic Dental Pllc 1327 E Chandler Blvd Ste 105 Phoenix AZ 85048-6272 Ph: (480) 283-0733 |
| NPI Number | 1063980027 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 11/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063980027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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