Organization
RONALD H COPENHAVER DMD PA
Active
Other names
Ronald H. Copenhaver DMD PA Advanced Center For Jaw Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD H. COPENHAVER D.M.D., (OWNER)
(727) 822-2228
Entity
Organization
Contact information
Practice address
4338 1ST STREET N, SUITE C, ST. PETERSBURG, FL 33703
(727) 822-2228
(727) 822-2441
Mailing address
4338 1ST STREET N, SUITE C, ST. PETERSBURG, FL 33703
(727) 822-2228
(727) 822-2441
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6749
FL
Other
Enumeration date
01/20/2009
Last updated
07/13/2010
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