Organization
MARISSA N. COOPER D.M.D., P.A.
Active
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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