Individual
MARK KOPERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
129 LAUREL DR, HASTINGS, PA 16646-5510
(814) 247-9906
(814) 247-6481
Mailing address
129 LAUREL DR, HASTINGS, PA 16646-5510
(814) 247-9906
(814) 247-6481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS025678L
PA
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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