Individual
DR. ANATOLIY KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8001 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-3038
(215) 268-9655
(215) 338-1979
Mailing address
401 COMMERCE DR, SUITE 108, FT WASHINGTON, PA 19034-2714
(267) 460-4254
(215) 646-6166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02290300
NJ
1223G0001X
General Practice Dentistry
Primary
DS036579
PA
Other
Enumeration date
03/10/2007
Last updated
02/12/2013
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