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Organization
TODD T. COOLEY DDS, PLLC
Active
Organization
TODD T. COOLEY DDS, PLLC
Active
Other names
Cascade Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TODD THOMAS COOLEY DDS (MEMBER OWNER)
(360) 856-6011
Entity
Organization
Contact information
Practice address
2261 HOSPITAL DR. #101, SEDRO WOOLLEY, WA 98284
(360) 856-6011
(360) 856-2232
Mailing address
2261 HOSPITAL DR. #101, SEDRO WOOLLEY, WA 98284
(360) 856-6011
(360) 856-2232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
906277
UNITED CONCORDIA
—
Enumeration date
08/17/2006
Last updated
03/26/2019
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