Organization
MARISSA N. COOPER D.M.D., P.A.
Active
Other names
Marchetto Cooper Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARISSA NICOLE COOPER DMD (PRESIDENT)
(772) 215-3555
Entity
Organization
Contact information
Practice address
1600 TOWN CENTER CIR STE A, WESTON, FL 33326-3641
(954) 389-1002
Mailing address
10651 SW 55TH ST, COOPER CITY, FL 33328-5856
(772) 215-3555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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