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Organization
WOODY & COOPER DDS, PA
Active
Organization
WOODY & COOPER DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER ARTHUR COOPER III DDS (PRESIDENT)
(704) 865-0490
Entity
Organization
Contact information
Practice address
414 S YORK ST, GASTONIA, NC 28052-4036
(704) 865-0490
(704) 864-8757
Mailing address
414 S YORK ST, GASTONIA, NC 28052-4036
(704) 865-0490
(704) 864-8757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89011YK
—
NC
Enumeration date
08/01/2006
Last updated
08/22/2020
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