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Organization
MARK COOPER, DDS, PC
Active
Organization
MARK COOPER, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK COOPER DDS (PRESIDENT)
(845) 469-7040
Entity
Organization
Contact information
Practice address
11 WEST AVE, ROUTE 94, CHESTER, NY 10918-1501
(845) 469-7040
Mailing address
11 WEST AVE, ROUTE 94, CHESTER, NY 10918-1501
(845) 469-7040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
391931
NY
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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