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Organization
EDP OF TENNESSEE PC
Active
Organization
EDP OF TENNESSEE PC
Active
Parent organization
EDP OF TENNESSEE PC
Other names
Christopher Cooley DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDP OF TENNESSEE PC
Authorized official
ROSEANNE BRUNENKANT (DIRECTOR OF INTEGRATIONS)
(312) 937-3619
Entity
Organization
Contact information
Practice address
7938 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1725
(901) 754-3117
Mailing address
141 W JACKSON BLVD STE 210, CHICAGO, IL 60604-3048
(312) 937-3619
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/18/2019
Last updated
09/16/2019
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