Individual
DR. KEVIN PATRICK COOPER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
945 E PORTAGE AVE, SAULT SAINTE MARIE, MI 49783-2459
(906) 632-0074
(906) 632-0081
Mailing address
945 E PORTAGE AVE, SAULT SAINTE MARIE, MI 49783-2459
(906) 632-0074
(906) 632-0081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013433
MI
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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