CHARLES LEE COPPOCK

JACKSONVILLE, TX
NPI1881804615
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  12645)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
-- CHARLES LEE COPPOCK D.D.S.
1501 E RUSK ST
JACKSONVILLE, TX 75766-5505
Phone number: 903-586-2401
Mailing Address
-- CHARLES LEE COPPOCK D.D.S.
1501 E RUSK ST
JACKSONVILLE, TX 75766-5505
Phone number: 903-586-2401
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