Individual
DR. ROGER WILLSON COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.A.
Contact information
Practice address
1625 W INA RD, SUITE # 103, TUCSON, AZ 85704-1900
(520) 531-8605
(520) 575-0618
Mailing address
1625 W INA RD, SUITE # 103, TUCSON, AZ 85704-1900
(520) 531-8605
(520) 575-0618
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D6003
AZ
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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