Individual
ALI COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
268 ACKERSON LAKE DR, JACKSON, MI 49201-8755
(517) 795-3214
Mailing address
268 ACKERSON LAKE DR, JACKSON, MI 49201-8755
(517) 795-3214
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902016478
MI
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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