Individual
COOPER D GIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
461 1ST AVE, NEW YORK, NY 10016-9102
(212) 562-5555
Mailing address
35 HARNDEN AVE, WATERTOWN, MA 02472-3213
(781) 534-4109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
065140
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
03/21/2024
Last updated
01/22/2026
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