Individual
MR. ROBERT BRUCE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 N 15TH STREET, OAKDALE, LA 71463
(318) 335-0530
(318) 335-4326
Mailing address
200 N 15TH STREET, OAKDALE, LA 71463
(318) 335-0530
(318) 335-4326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3130
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831301
—
LA
Enumeration date
01/09/2007
Last updated
07/08/2007
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