Cooley Cosmetic & Family Dentistry, P.c.

NPI 1184996316 - Dentist - 1223G0001X

NPI Details
NPI 1184996316
Enumeration Date 02/03/2012
Last Updated 02/03/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CHARLES CHARLES
Position OWNER
Phone (903) 592-6535
Fax (903) 592-6535
Practice Location
601 TURTLE CREEK DR
TYLER TX, 75701-1832, US
Phone (903) 592-6535
Fax (903) 592-6535
Business Location
601 TURTLE CREEK DR
TYLER TX, 75701-1832, US
Phone (903) 592-6535
Fax (903) 592-6535
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 20146
Remove 1184996316 NPI Number
 

According to our database, Cooley Cosmetic & Family Dentistry, P.c. NPI is 1184996316, taxonomy code is 1223G0001X and license number is 20146, license state is located at Texas. Cooley Cosmetic & Family Dentistry, P.c. physically located at 601 Turtle Creek Dr, Tyler TX, 75701-1832. NPI Number 1033115704 has the healthcare provider type.

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1184996316 NPI number is provided on an as is basis without warranty of any kind. 1184996316 is maintained by the National Plan & Provider Enumeration System. The contents of Cooley Cosmetic & Family Dentistry, P.c. are for informational purposes only.