Individual
DR. STEPHANIE E COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1101 5TH ST, SUITE 101, CORALVILLE, IA 52241-2903
(319) 337-9996
(319) 688-9996
Mailing address
1101 5TH ST, SUITE 101, CORALVILLE, IA 52241-2903
(319) 337-9996
(319) 353-6923
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07926
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214247
—
IA
Enumeration date
12/14/2005
Last updated
10/22/2009
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