Organization
MITCH COOPER DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCH COOPER DDS (OWNER DENTIST)
(785) 272-9443
Entity
Organization
Contact information
Practice address
1813 SW FAIRLAWN RD, TOPEKA, KS 66604-3646
(785) 272-9443
(785) 228-9071
Mailing address
1813 SW FAIRLAWN RD, TOPEKA, KS 66604-3646
(785) 272-9443
(785) 228-9071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5956
KS
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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