Individual
DR. JUSTIN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.D.
Contact information
Practice address
685 ROYAL PALM BEACH BLVD, SUITE 202, ROYAL PALM BEACH, FL 33411-7642
(561) 588-0319
Mailing address
685 ROYAL PALM BEACH BLVD, SUITE 202, ROYAL PALM BEACH, FL 33411-7642
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 20037
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN014330
GA
Other
Enumeration date
08/15/2011
Last updated
01/08/2015
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