Organization
COOPER ORTHODONTICS LLC
Active
Organization
COOPER ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW COOPER DMD (MANAGING MEMBER)
(561) 702-0908
Entity
Organization
Contact information
Practice address
685 ROYAL PALM BEACH BLVD, SUITE 202, ROYAL PALM BEACH, FL 33411-7642
(561) 702-0908
Mailing address
685 ROYAL PALM BEACH BLVD, SUITE 202, ROYAL PALM BEACH, FL 33411-7642
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN18379
FL
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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