| Cottonwood Dental Associates Pllc | |
|
830 S Main St Suite 1 D Cottonwood AZ 86326-4620 | |
| (928) 634-5566 | |
| (928) 634-1363 |
| Full Name | Cottonwood Dental Associates Pllc |
|---|---|
| Speciality | Dentist |
| Location | 830 S Main St, Cottonwood, Arizona |
| Authorized Official Name and Position | Bruce Edwin Westover (OWNER/DENTIST) |
| Authorized Official Contact | 9286345566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottonwood Dental Associates Pllc 830 S Main St Suite 1 D Cottonwood AZ 86326-4620 Ph: (928) 634-5566 | Cottonwood Dental Associates Pllc 830 S Main St Suite 1 D Cottonwood AZ 86326-4620 Ph: (928) 634-5566 |
| NPI Number | 1043678055 |
|---|---|
| Provider Enumeration Date | 02/04/2016 |
| Last Update Date | 02/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043678055 | NPI | - | NPPES |
| 1659573087 | Other | AZ | INDIVIDUAL NPI |
| D03477 | Other | AZ | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D03477 (Arizona) | Primary |
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