DR. Charles A Cooley, D.D.S.

NPI #1093920761 in Tyler, Texas

Provider Information

NPI Number: 1093920761
Entity Type: Individual
Name: DR. Charles A Cooley, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 14, 2007
Last Updated: Jun 23, 2009

Practice Location

Address: 601 TURTLE CREEK DR
City: Tyler
State: Texas
ZIP Code: 75701-1832
Phone: (903) 592-6535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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