Individual
DR. KATE S COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1903 S BROAD ST, PHILADELPHIA, PA 19148
(215) 334-2000
Mailing address
1903 S BROAD ST, PHILADELPHIA, PA 19148-2216
(215) 334-2000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS040397
PA
Other
Enumeration date
05/31/2016
Last updated
04/08/2019
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