Individual
DR. MARISSA NICOLE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
140 S UNIVERSITY DR, PEMBROKE PINES, FL 33025-2234
(954) 431-0004
Mailing address
700 SW 78TH AVE, APT. 917, PLANTATION, FL 33324-3298
(772) 215-3555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN18639
FL
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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