Individual
DR. JEFFREY S COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
720 E HIGHWAY 61, WINONA, MN 55987-5300
(507) 452-9453
Mailing address
114 GLENDALE RD, WINONA, MN 55987-5013
(507) 474-1355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9899
MN
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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