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Organization
GW COOPER AND RM SHIFMAN DENTAL CORPORATION
Active
Organization
GW COOPER AND RM SHIFMAN DENTAL CORPORATION
Active
Other names
Northbank Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY W. COOPER DDS (SHAREHOLDER/DIRECTOR)
(805) 658-1577
Entity
Organization
Contact information
Practice address
2772 JOHNSON DR, SUITE 101, VENTURA, CA 93003-8582
(805) 658-1577
(805) 658-7049
Mailing address
2772 JOHNSON DR, SUITE 101, VENTURA, CA 93003-8582
(805) 658-1577
(805) 658-7049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26831
CA
1223G0001X
General Practice Dentistry
50370
CA
Other
Enumeration date
01/30/2006
Last updated
08/22/2020
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