Organization
COOPER MATONE DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN COOPER (OWNER)
(800) 409-2563
Entity
Organization
Contact information
Practice address
708 E DIXON RD, LITTLE ROCK, AR 72206-4114
(800) 409-2563
(623) 321-6268
Mailing address
1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 85027-1228
(800) 409-2563
(623) 321-6268
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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