Organization
COOPER DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A COOPER D.M.D. (DENTIST)
(508) 234-6363
Entity
Organization
Contact information
Practice address
1298 PROVIDENCE RD, WHITINSVILLE, MA 01588-1521
(508) 234-6363
Mailing address
1298 PROVIDENCE RD, WHITINSVILLE, MA 01588-1521
(508) 234-6363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14267
MA
Other
Enumeration date
05/25/2007
Last updated
12/28/2007
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