Individual
DR. KEVIN MICHAEL KOPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 WESTERN AVE NW, FARIBAULT, MN 55021-4510
(507) 333-2028
Mailing address
524 7TH ST SW, ROCHESTER, MN 55902-3267
(507) 288-8367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11829
MN
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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