NPI | 1144692476 |
---|---|
Former Legal Business Name | WILLIAM J. COAKLEY, III, D.M.D. |
Entity Type | Organization |
Authorized Contact | WILLIAM JOHN COAKLEY Owner 978-343-3646 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 20549) |
Enumeration Date | 2015-10-26 |
Last Update Date | 2015-10-26 |