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Dr. Jack A Cox, D.D.S.

Dentist, General Practice in Lacey, WA. Individual provider (NPI-1).

NPI number1457574428
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1457574428
Entity type
Individual (NPI-1)
Name
Dr. Jack A Cox
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 10, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDE00004839WAYes

Practice location

4044 15th Ave Se
Lacey, WA 98503-6962

Phone 360-491-4343

Mailing address

4044 15th Ave Se
Lacey, WA 98503-6962

Phone 360-491-4343

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