Wayne Wilkinson Cottam DMD

NPI 1003988064 - Dentist - 1223G0001X

NPI Details
NPI 1003988064
Gender Male
Enumeration Date 11/14/2006
Last Updated 10/08/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
4212 N 16TH ST
PHOENIX AZ, 85016-5319, US
Phone (602) 263-1511
Fax (602) 263-1637
Business Location
10465 E PLATA AVE
MESA AZ, 85212-1840, US
Phone (480) 984-4002
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D7446
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According to our database, Dr. Wayne Wilkinson Cottam DMD NPI is 1003988064, taxonomy code is 1223G0001X and license number is D7446, license state is located at Oregon. Wayne Wilkinson Cottam DMD physically located at 4212 N 16th St, Phoenix AZ, 85016-5319. NPI Number Wayne Wilkinson Cottam DMD has the Individual type.

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1003988064 NPI number is provided on an as is basis without warranty of any kind. 1003988064 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne Wilkinson Cottam DMD are for informational purposes only.