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Organization
HOLME T. COOLEY DDS, INC.
Active
Organization
HOLME T. COOLEY DDS, INC.
Active
Other names
Longwood Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLME TRUONG COOLEY D.D.S. (OWNER)
(714) 491-1338
Entity
Organization
Contact information
Practice address
898 S ANAHEIM BLVD, ANAHEIM, CA 92805-5205
(714) 491-1338
(714) 491-9258
Mailing address
898 S ANAHEIM BLVD, ANAHEIM, CA 92805-5205
(714) 491-1338
(714) 491-9258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40564
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G93533
—
CA
Enumeration date
11/07/2006
Last updated
08/22/2020
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