Organization
COOPER DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN COOPER DMD (EMPLOYER)
(386) 547-7000
Entity
Organization
Contact information
Practice address
1275 W GRANADA BLVD FL 32174, ORMOND BEACH, FL 32174-8259
(386) 244-9838
Mailing address
1275 W GRANADA BLVD FL 32174, ORMOND BEACH, FL 32174-8259
(386) 244-9838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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