Individual
PATRICK COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
80 HIGH ST, MEDFORD, MA 02155-3872
(781) 391-8300
Mailing address
80 HIGH ST, MEDFORD, MA 02155-3872
(781) 391-8300
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DL12900
MA
Other
Enumeration date
06/13/2016
Last updated
01/04/2021
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