Organization
TODD COOPER, DDS, TYSON TEEPLES, DMD, MD, RYAN TOPONCE, DMD, PS.
Active
Other names
Columbia Basin Oral & Maxillofacial Surgeons, Columbia Basin Oral and Maxillofacial Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD C COOPER DDS (PARTNER)
(509) 783-7600
Entity
Organization
Contact information
Practice address
512 N YOUNG ST, KENNEWICK, WA 99336-7806
(509) 783-7600
(509) 783-0774
Mailing address
512 N YOUNG ST, KENNEWICK, WA 99336-7806
(509) 783-7600
(509) 783-0774
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6293
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5014337
—
WA
05
—
5017652
—
WA
05
—
5017660
—
WA
05
—
5042361
—
WA
Enumeration date
11/20/2006
Last updated
06/21/2017
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