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Organization

COOPERMAN FAMILY DENTISTRY PLLC

Active
Other names
Benjamin Cooperman DMD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BENJAMIN PETER COOPERMAN DMD (OWNER)
(480) 324-6457
Entity
Organization

Contact information

Practice address
25101 N LAKE PLEASANT PKWY # B-1335, PEORIA, AZ 85383-1386
(480) 324-6457
(480) 680-0921
Mailing address
25101 N LAKE PLEASANT PKWY # B-1335, PEORIA, AZ 85383-1386
(480) 324-6457
(480) 680-0921

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9640
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225412950
NPI TYPE1
AZ
Enumeration date
04/29/2018
Last updated
04/29/2018
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