BEN MICHAEL KOOLICK

PEORIA, AZ
NPI1104818467
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  Az6037)
Enumeration Date2005-08-22
Last Update Date2011-04-03
Business Address
Dr. BEN MICHAEL KOOLICK DDS
8390 W CACTUS RD STE 110
PEORIA, AZ 85381-5206
Phone number: 623-878-3300
Mailing Address
Dr. BEN MICHAEL KOOLICK DDS
9494 E DESERT COVE AVE
SCOTTSDALE, AZ 85260-6144
Phone number: 480-767-1338
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