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Organization
STEVEN R. & JENNIFER S. COOPER DMD PA
Active
Organization
STEVEN R. & JENNIFER S. COOPER DMD PA
Active
Other names
Cooper Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN R. COOPER DMD (OWNER DOCTOR)
(386) 672-0955
Entity
Organization
Contact information
Practice address
1275 W. GRANADA BLVD., SUITE 1, ORMOND BEACH, FL 32174
(386) 672-0955
(386) 672-5177
Mailing address
1275 W. GRANADA BLVD., SUITE 1, ORMOND BEACH, FL 32174
(386) 672-0955
(386) 672-5177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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