Individual
JOHN E COOPER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11126 WEST WISCONSIN AVENUE, SUITE 1, YOUNGTOWN, AZ 85363
(823) 933-3684
(623) 933-1226
Mailing address
11126 WEST WISCONSIN AVENUE, SUITE 1, YOUNGTOWN, AZ 85363
(823) 933-3684
(623) 933-1226
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2710
AZ
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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