Individual
DR. KEVIN C COOPER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3105 WESTERN BRANCH BLVD, SUITE 5, CHESAPEAKE, VA 23321-5540
(757) 483-5152
(757) 483-7711
Mailing address
3105 WESTERN BRANCH BLVD, SUITE 5, CHESAPEAKE, VA 23321-5540
(757) 483-5152
(757) 483-7711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401005946
VA
Other
Enumeration date
10/18/2005
Last updated
07/08/2007
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