DR. BEN KOOLICK, DDS
Dentist - General Practice
Active
Individual
NPI: 1104818467
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | AZ6037 (AZ) |
Frequently Asked Questions
NPI 1104818467 is the National Provider Identifier for DR. BEN KOOLICK, DDS, a Dentist - General Practice provider located in Peoria, AZ. This NPI was enumerated on August 22, 2005.
DR. BEN KOOLICK, DDS practices at 8390 W CACTUS RD STE 110, Peoria, AZ 85381.
Quick Facts
- NPI
- 1104818467
- Type
- Individual
- Enumerated
- Aug 22, 2005
- Last Updated
- Apr 3, 2011
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