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Individual

DR. STEVEN MICHAEL COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
8253 W THUNDERBIRD RD STE 101, PEORIA, AZ 85381-4616
(623) 759-7656
Mailing address
201 MERRIL MARTIN RD, SAGLE, ID 83860-9104
(208) 610-8553

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011105
AZ

Other

Enumeration date
07/08/2021
Last updated
07/08/2021
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