Charles Cooper Valid NPI
Individual provider · Dentist · Cushing, OK
- NPI
- 1104222173
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 5163 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2014-11-18
- Last updated
- 2014-11-18
Practice location
3200 S Kings Hwy
Cushing, OK 74023-5355
(918) 225-3336