Individual
DR. ROBERT EARL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
111 FAIRFAX AVE, LOUISVILLE, KY 40207-4905
(502) 895-1171
Mailing address
111 FAIRFAX AVE, LOUISVILLE, KY 40207-4905
(502) 895-1171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5765
KY
Other
Enumeration date
10/11/2005
Last updated
07/08/2007
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