Individual
MR. CLIFFORD D COPUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1565 BRAGAW ST, STE 210, ANCHORAGE, AK 99508-3109
(907) 279-4533
(907) 688-8935
Mailing address
1565 BRAGAW ST, STE 210, ANCHORAGE, AK 99508-3109
(907) 279-4533
(907) 688-8935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD0599
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD0599
—
AK
Enumeration date
08/31/2006
Last updated
07/08/2007
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