Organization
JED M. KOOPS, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JED MICHAEL KOOPS DMD (PRESIDENT)
(440) 941-7824
Entity
Organization
Contact information
Practice address
3690 ORANGE PL STE 515, BEACHWOOD, OH 44122-4466
(216) 464-2448
Mailing address
3028 WOODBURY RD, SHAKER HEIGHTS, OH 44120-2441
(440) 941-7824
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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