Individual
JED M KOOPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3690 ORANGE PL STE 515, BEACHWOOD, OH 44122-4466
(216) 464-2448
(216) 292-2532
Mailing address
3028 WOODBURY RD, SHAKER HEIGHTS, OH 44120-2441
(216) 459-7021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.24768
OH
Other
Enumeration date
05/27/2016
Last updated
05/22/2019
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