Organization
CHRISTI DENTAL CENTER PA
Active
Other names
William T Cooper DDS Hector T Garcia DDS Coleman Nockolds DDS
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM T COOPER DDS (OWNER PRESIDENT)
(361) 387-1531
Entity
Organization
Contact information
Practice address
109 E AVE J, ROBSTOWN, TX 78380
(361) 387-1531
(361) 767-8802
Mailing address
109 E AVE J, ROBSTOWN, TX 78380
(361) 387-1531
(361) 767-8802
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12424
TX
1223G0001X
General Practice Dentistry
14400
TX
1223G0001X
General Practice Dentistry
16198
TX
1223G0001X
General Practice Dentistry
8820
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0610501
CHIP
TX
Enumeration date
09/01/2006
Last updated
11/01/2007
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