Individual
DR. DAVID JACK COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21534 GREAT MILLS RD, LEXINGTON PK, MD 20653
(301) 862-3900
(301) 862-3779
Mailing address
21534 GREAT MILLS RD, LEXINGTON PK, MD 20653
(301) 862-3900
(301) 862-3779
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6466
MD
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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