institution
Cooperman Family Dentistry Pllc
Dental Clinic/Center in Peoria, Arizona
NPI 1417445099

Cooperman Family Dentistry Pllc is a Dental Clinic/Center based in Peoria, AZ and is specialized in Dental. Cooperman Family Dentistry Pllc practices in Peoria, AZ. The NPI Number for Cooperman Family Dentistry Pllc is 1417445099 and holds a License No. 9640 (Arizona).

The current practice location address for Cooperman Family Dentistry Pllc is 25101 N Lake Pleasant Pkwy # B-1335, Peoria, AZ and can be reached out via phone at 480-324-6457 and via fax at 480-680-0921.

Location: 25101 N Lake Pleasant Pkwy # B-1335, Peoria, AZ, 85383-1386
institution
Provider Profile Details
NPI Number
1417445099
Provider Name
Cooperman Family Dentistry Pllc
Credential
Provider Entity Type
Organization
Address
25101 N Lake Pleasant Pkwy # B-1335, Peoria, AZ, 85383-1386
Phone Number
480-324-6457
Fax Number
480-680-0921
Provider Enumeration Date
04/29/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1225412950 01 AZ NPI TYPE1
institution
Provider Business Practice Location Address Details
Address
25101 N Lake Pleasant Pkwy # B-1335
City
State
Zip
85383-1386
Phone Number
480-324-6457
Fax Number
480-680-0921
person
Provider Business Mailing Address Details
Address
25101 N Lake Pleasant Pkwy # B-1335
City
State
Zip
85383-1386
Phone Number
480-324-6457
Fax Number
480-680-0921
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
9640 (Arizona)
Definition
Definition to come...
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