Organization
MCKENZIE ORTHODONTICS
Active
Organization
MCKENZIE ORTHODONTICS
Active
Other names
New Image Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM T COOPER DDS (PRESIDENT)
(361) 387-1531
Entity
Organization
Contact information
Practice address
10610 UP RIVER RD, SUITE D, CORPUS CHRISTI, TX 78410-2206
(361) 387-1531
(361) 767-8802
Mailing address
109 E AVENUE J, ROBSTOWN, TX 78380-2347
(361) 387-1531
(361) 767-8802
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12424
TX
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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