Cottonwood Dental Associates PLLC
Dentist in Cottonwood, AZ. Organization (NPI-2).
NPI number1043678055
StatusActive
Last updated in NPPESFeb 4, 2016
Details
- NPI
- 1043678055
- Entity type
- Organization (NPI-2)
- Legal business name
- Cottonwood Dental Associates PLLC
- Organization subpart
- No
- Enumeration date
- Feb 4, 2016
- Last updated
- Feb 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D03477 | AZ | Yes |
Practice location
830 S Main StSuite 1 D
Cottonwood, AZ 86326-4620
Phone 928-634-5566 · Fax 928-634-1363
Mailing address
830 S Main StSuite 1 D
Cottonwood, AZ 86326-4620
Phone 928-634-5566 · Fax 928-634-1363
Authorized official
Bruce Edwin Westover
Owner/Dentist
9286345566
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