Individual
JACOB KAOPUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1240 E BASELINE RD STE 100, MESA, AZ 85204-6700
(480) 576-7378
Mailing address
435 E MAIN ST APT 241, MESA, AZ 85203-5145
(360) 202-7368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012583
AZ
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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