Individual
DR. JILL HEATHER PUCEL-KOOPMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
14115 JAMES RD, SUITE 303, ROGERS, MN 55374-9468
(763) 428-2226
(763) 428-3407
Mailing address
14115 JAMES RD, SUITE 303, ROGERS, MN 55374-9468
(763) 428-2226
(763) 428-3407
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11666
MN
Other
Enumeration date
10/18/2005
Last updated
07/08/2007
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