Individual
DR. RYAN ROBERT WILLIAM COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1590 HASTINGS AVE, NEWPORT, MN 55055-1646
(651) 459-2387
(651) 459-3259
Mailing address
1590 HASTINGS AVE, NEWPORT, MN 55055-1646
(651) 459-2387
(651) 459-3259
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13734
MN
Other
Enumeration date
08/23/2016
Last updated
09/19/2018
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