Individual
DR. MULLEN O COOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
173 ASHLEY AVE, BSB-335, CHARLESTON, SC 29425-8908
(843) 792-3765
(843) 792-2847
Mailing address
173 ASHLEY AVE, BSB-335, CHARLESTON, SC 29425-8908
(843) 792-3765
(843) 792-2847
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2435
WV
1223G0001X
General Practice Dentistry
Primary
3655
SC
Other
Enumeration date
08/17/2005
Last updated
07/01/2008
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