Individual
VERONICA LIN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1628 30TH ST NW, BEMIDJI, MN 56601-4690
(218) 444-2004
Mailing address
1628 30TH ST NW, BEMIDJI, MN 56601-4690
(218) 444-2004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10878
MN
122300000X
Dentist
Primary
D10878
MN
Other
Enumeration date
04/24/2007
Last updated
12/10/2018
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