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Individual
DR. JEREMY J KOPPENHAVER
Active
Individual
DR. JEREMY J KOPPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS38003
PA
1223P0700X
Prosthodontics
Primary
DS038003
PA
Other
Enumeration date
08/06/2009
Last updated
10/19/2018
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