Organization
COOLEY COSMETIC & FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES COOLEY DDS (OWNER)
(903) 592-6535
Entity
Organization
Contact information
Practice address
601 TURTLE CREEK DR, TYLER, TX 75701-1832
(903) 592-6535
(903) 592-6535
Mailing address
601 TURTLE CREEK DR, TYLER, TX 75701-1832
(903) 592-6535
(903) 592-6535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20146
TX
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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