Mariah Marissa Fields-Cooper, DDS

NPI #1245796002 in Longview, Texas

Provider Information

NPI Number
1245796002
Entity Type
Individual
Name
Mariah Marissa Fields-Cooper, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Feb 18, 2019
Last Updated
Oct 3, 2019

Practice Location

Address
1499 E MARSHALL AVE
State
Texas
ZIP Code
75601-6814
Phone
(903) 242-9777

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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