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Organization
SPINNAKER PEDIATRIC DENTISTRY PC
Active
Organization
SPINNAKER PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN A COOPER DDS (PRESIDENT)
(503) 363-5865
Entity
Organization
Contact information
Practice address
1105 12TH ST SE, SALEM, OR 97302-2810
(503) 363-5865
(503) 363-8510
Mailing address
1105 12TH ST SE, SALEM, OR 97302-2810
(503) 363-5865
(503) 363-8510
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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