Individual
JENNIFER COOPER-PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
800 M 139, BENTON HARBOR, MI 49022
(855) 869-6900
(269) 427-5180
Mailing address
50 INDUSTRIAL PARK ROAD, BANGOR, MI 49013
(269) 427-7937
(269) 427-5180
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902010966
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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