Organization
COOPER COSMETIC & FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY KATHLEEN COOPER DMD (PRESIDENT)
(843) 225-8718
Entity
Organization
Contact information
Practice address
4830 CHATEAU AVE, NORTH CHARLESTON, SC 29405-4806
(843) 225-8718
(843) 225-8728
Mailing address
4830 CHATEAU AVE, NORTH CHARLESTON, SC 29405-4806
(843) 225-8718
(843) 225-8728
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4103
SC
Other
Enumeration date
05/17/2007
Last updated
03/12/2015
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