Organization
KOPERLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOSTAFA S KOPERLY DDS, BDS (PRESIDENT)
(832) 436-8277
Entity
Organization
Contact information
Practice address
27 MAIN ST, UNIT 104, EDWARDS, CO 81632-8109
(832) 436-8277
Mailing address
27 MAIN ST, UNIT 104, EDWARDS, CO 81632-8109
(832) 436-8277
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN00202418
CO
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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