Charles Cooper JR.

NPI #1104222173 in Cushing, Oklahoma

Provider Information

NPI Number: 1104222173
Entity Type: Individual
Name: Charles Cooper JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Nov 18, 2014
Last Updated: Nov 18, 2014

Practice Location

Address: 3200 S KINGS HWY
City: Cushing
State: Oklahoma
ZIP Code: 74023-5355
Phone: (918) 225-3336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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