Organization
TODD T. COOLEY DDS, PLLC
Active
Other names
Cascade Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TODD THOMAS COOLEY DDS (MEMBER OWNER)
(360) 856-6011
Entity
Organization
Contact information
Practice address
2261 HOSPITAL DR. #101, SEDRO WOOLLEY, WA 98284
(360) 856-6011
(360) 856-2232
Mailing address
2261 HOSPITAL DR. #101, SEDRO WOOLLEY, WA 98284
(360) 856-6011
(360) 856-2232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
906277
UNITED CONCORDIA
—
Enumeration date
08/17/2006
Last updated
03/26/2019
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