Individual
DR. RAYMOND R COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
915 N MILWAUKEE AVE, SUITE A, LIBERTYVILLE, IL 60048-1973
(847) 367-0018
Mailing address
915 N MILWAUKEE AVE, SUITE A, LIBERTYVILLE, IL 60048-1973
(847) 367-0018
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
19A15112
IL
1223E0200X
Endodontics
4031
WI
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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