JACK A COX

LACEY, WA
NPI1457574428
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE00004839)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
Dr. JACK A COX D.D.S.
4044 15TH AVE SE
LACEY, WA 98503-6962
Phone number: 360-491-4343
Mailing Address
Dr. JACK A COX D.D.S.
4044 15TH AVE SE
LACEY, WA 98503-6962
Phone number: 360-491-4343