Individual
CHARLES COOPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 S KINGS HWY, CUSHING, OK 74023-5355
(918) 225-3336
(918) 223-2937
Mailing address
3200 S KINGS HWY, CUSHING, OK 74023-5355
(918) 225-3336
(918) 223-2937
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5163
OK
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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