Individual
ANGELA M COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1514 1ST ST N, WINTER HAVEN, FL 33881-2476
(866) 234-8534
(863) 292-4293
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(863) 291-5110
(863) 291-5128
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN13255
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075129400
—
FL
Enumeration date
10/04/2005
Last updated
10/15/2024
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