Individual
DR. GENE M. KOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1400 E 9TH ST, EDMOND, OK 73034-5701
(405) 348-0728
(405) 341-7424
Mailing address
1400 E 9TH ST, EDMOND, OK 73034-5701
(405) 348-0728
(405) 341-7424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3394
OK
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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