Individual
DR. RANDALL G. COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9048 MANSFIELD RD, SHREVEPORT, LA 71118-2608
(318) 687-9648
Mailing address
9048 MANSFIELD RD, SHREVEPORT, LA 71118-2608
(318) 687-9648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3354
LA
Other
Enumeration date
02/16/2008
Last updated
02/16/2008
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