Individual
DR. GEORGE R COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2121 E. DUPONT ROAD, SUITE E, FORT WAYNE, IN 46845
(260) 489-1508
(260) 489-9760
Mailing address
2121 E. DUPONT ROAD, SUITE E, FORT WAYNE, IN 46845
(260) 489-1508
(260) 489-9760
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008379
IN
Other
Enumeration date
08/31/2006
Last updated
04/19/2022
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