| NPI | 1124464938 | 
|---|---|
| Doing Business As | COOPER DENTAL GROUP | 
| Entity Type | Organization | 
| Authorized Contact | STEVEN R. COOPER Owner Doctor 386-672-0955 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2013-05-20 | 
| Last Update Date | 2013-05-20 |