| Todd T. Cooley Dds, Pllc | |
|
2261 Hospital Dr. #101 Sedro Woolley WA 98284 | |
| (360) 856-6011 | |
| (360) 856-2232 |
| Full Name | Todd T. Cooley Dds, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2261 Hospital Dr. #101, Sedro Woolley, Washington |
| Authorized Official Name and Position | Todd Thomas Cooley (MEMBER OWNER) |
| Authorized Official Contact | 3608566011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd T. Cooley Dds, Pllc 2261 Hospital Dr. #101 Sedro Woolley WA 98284 Ph: (360) 856-6011 | Todd T. Cooley Dds, Pllc 2261 Hospital Dr. #101 Sedro Woolley WA 98284 Ph: (360) 856-6011 |
| NPI Number | 1790899037 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 03/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790899037 | NPI | - | NPPES |
| 906277 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Primary |
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