Organization
KEITH M COOPER DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIETH COOPER DDS (OWNER)
(408) 253-4150
Entity
Organization
Contact information
Practice address
5150 GRAVES AVE STE 12E, SAN JOSE, CA 95129-5015
(408) 253-4150
(408) 253-1979
Mailing address
5150 GRAVES AVE STE 12E, SAN JOSE, CA 95129-5015
(408) 253-4150
(408) 253-1979
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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