| NPI | 1063980027 |
|---|---|
| Doing Business As | KOKOPELLI FAMILY AND COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SUPREET SINGH NAGI Owner 480-628-6374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |