Organization
JOHN E. COOPER, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E COOPER II D.D.S. (PRESIDENT)
(623) 933-3684
Entity
Organization
Contact information
Practice address
11126 W WISCONSIN AVE, SUITE 1, YOUNGTOWN, AZ 85363-1068
(623) 933-3684
(623) 933-1226
Mailing address
11126 W WISCONSIN AVE, SUITE 1, YOUNGTOWN, AZ 85363-1068
(623) 933-3684
(623) 933-1226
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D2710
AZ
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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