DR. Charles Robert Cooley, DMD

NPI #1063037315 in Meridian, Idaho

Provider Information

NPI Number
1063037315
Entity Type
Individual
Name
DR. Charles Robert Cooley, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Jun 12, 2020
Last Updated
Jun 12, 2020

Practice Location

Address
2630 S EAGLE RD
State
Idaho
ZIP Code
83642-6704
Phone
(208) 888-0625

Specialties & Taxonomy Codes

Specialty
Dentist

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