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Individual

DR. TERENCE COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
655 SOUTHPOINTE CT STE 101, COLORADO SPRINGS, CO 80906-3859
(719) 576-1355
Mailing address
10629 RIVER OAKS DR, PERRYSBURG, OH 43551-2895

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
30.025149
OH
1223G0001X
General Practice Dentistry
30.025149
OH
1223G0001X
General Practice Dentistry
Primary
DEN.00204291
CO

Other

Enumeration date
06/14/2017
Last updated
11/11/2021
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