Individual
MOLLY DELORA KOPF
Active
Individual
MOLLY DELORA KOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
7516
NE
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D1261
SD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS-09735
IA
Other
Enumeration date
06/26/2017
Last updated
06/24/2020
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