Individual
LONDON L COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3504 E MARIA DR, STEVENS POINT, WI 54481-1334
(715) 342-8060
(715) 342-0062
Mailing address
3504 E MARIA DR, STEVENS POINT, WI 54481-1334
(715) 342-8060
(715) 342-0062
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5481-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33773600
—
WI
Enumeration date
08/08/2006
Last updated
07/09/2007
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