Individual
DR. RICHARD E COPITHORNE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5992 HOWDERSHELL RD, SUITE 206, HAZELWOOD, MO 63042-4107
(314) 731-2273
Mailing address
5992 HOWDERSHELL RD, SUITE 206, HAZELWOOD, MO 63042-4107
(314) 731-2273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016014753
MO
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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