DR. Ben Michael Koolick, DDS

NPI #1104818467 in Peoria, Arizona

Provider Information

NPI Number
1104818467
Entity Type
Individual
Name
DR. Ben Michael Koolick, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Aug 22, 2005
Last Updated
Apr 3, 2011

Practice Location

Address
8390 W CACTUS RD STE 110
City
Peoria
State
Arizona
ZIP Code
85381-5206
Phone
(623) 878-3300

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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