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1205991858
JEFFREY HOWARD KOOTMAN
PHOENIX, AZ
NPI
1205991858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: AZ 3369)
Enumeration Date
2006-12-26
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY HOWARD KOOTMAN DMD
702 E BELL RD B103
PHOENIX, AZ 85022
Phone number: 602-493-1140
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Mailing Address
Dr. JEFFREY HOWARD KOOTMAN DMD
702 E BELL RD B103
PHOENIX, AZ 85022
Phone number: 602-493-1140
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