Organization
GERALD M COPELAND II DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD MARCUS COPELAND II DMD (PRESIDENT)
(813) 879-7167
Entity
Organization
Contact information
Practice address
4501 N ARMENIA AVE, TAMPA, FL 33603-2744
(813) 879-7167
(813) 871-5154
Mailing address
4501 N ARMENIA AVE, TAMPA, FL 33603-2744
(813) 879-7167
(813) 871-5154
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN15386
FL
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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