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Organization
DR. JACQUELINE COOTES, DDS INC.
Active
Organization
DR. JACQUELINE COOTES, DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE ELISE COOTES DDS (OWNER/PRESIDENT)
(310) 293-9985
Entity
Organization
Contact information
Practice address
732 W 9TH ST STE 204, SAN PEDRO, CA 90731-3629
(310) 833-1386
Mailing address
42 EASTFIELD DR, ROLLING HILLS, CA 90274-5262
(310) 293-9985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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