Individual
CHARLES COOPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8501 LASALLE RD, 306, TOWSON, MD 21286-5914
(410) 583-2299
(410) 583-9185
Mailing address
21 COBBLER CT, BALTIMORE, MD 21208-1321
(410) 484-0719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5802
MD
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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