Todd T Cooley Dds | |
2124 Riverside Dr Suite 108 Mount Vernon WA 98273 | |
(360) 424-8884 | |
(360) 424-1640 |
Full Name | Todd T Cooley Dds |
---|---|
Speciality | Dentist - General Practice |
Location | 2124 Riverside Dr, Mount Vernon, Washington |
Authorized Official Name and Position | Todd Thomas Cooley (OWNER DENTIST) |
Authorized Official Contact | 3604248884 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Todd T Cooley Dds 2124 Riverside Dr Suite 108 Mount Vernon WA 98273 Ph: (360) 424-8884 | Todd T Cooley Dds 2124 Riverside Dr Suite 108 Mount Vernon WA 98273 Ph: (360) 424-8884 |
NPI Number | 1922173913 |
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Provider Enumeration Date | 11/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922173913 | NPI | - | NPPES |
5048459 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DE00010079 (Washington) | Primary |
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