Individual
DR. BRUCE E COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1105 4TH AVE E, STE A, OLYMPIA, WA 98506-4018
(360) 357-8075
(360) 357-3842
Mailing address
1105 4TH AVE E, STE A, OLYMPIA, WA 98506-4018
(360) 357-8075
(360) 357-3842
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006116
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5005459
—
WA
Enumeration date
06/09/2005
Last updated
06/26/2015
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