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Individual

DR. DEAN KOPAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D,

Contact information

Practice address
4021 W SYLVANIA AVE, TOLEDO, OH 43623-4428
(419) 475-6181
(419) 475-5720
Mailing address
4021 W SYLVANIA AVE, TOLEDO, OH 43623-4428
(419) 475-6181
(419) 475-5720

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4117 T68
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0854286
OH
Enumeration date
10/27/2006
Last updated
09/09/2010
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