Individual
DR. HARMON JACK COOPER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
241 14 SO CONDUIT AVE, ROSEDALE, NY 11422
(718) 341-4444
(718) 341-4472
Mailing address
14 CHESTNUT LANE, WOODBURY, NY 11797
(516) 677-0815
(718) 341-4472
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
026874
NY
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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