| NPI | 1861628992 |
|---|---|
| Doing Business As | NORTERRA DENTAL GROUP AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | TODD R COCKRELL Owner Doctor 623-581-7031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2022-02-08 |