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Individual

DR. PETER GATES COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
175 S EL MOLINO AVE, PASADENA, CA 91101-2564
(626) 796-1241
Mailing address
175 S EL MOLINO AVE, PASADENA, CA 91101-2564
(626) 796-1241

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
CA

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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