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Individual

DR. MICHAEL KOPA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2327 COTTMAN AVE, PHILADELPHIA, PA 19149-1008
(215) 332-8700
Mailing address
1330 PINE ST, APT C202, PHILADELPHIA, PA 19107-5833
(484) 522-0015

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS040164
PA

Other

Enumeration date
09/15/2014
Last updated
09/15/2014
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