JASON WILLIAM COOPER

GARY, IN
NPI1215261201
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  8827)
Enumeration Date2009-09-24
Last Update Date2010-12-28
Business Address
Dr. JASON WILLIAM COOPER DDS
3506 VILLAGE CT
GARY, IN 46408-1428
Phone number: 219-985-3133
Mailing Address
Dr. JASON WILLIAM COOPER DDS
201 W 8TH ST SUITE 810
PUEBLO, CO 81003-3038
Phone number: 719-562-4447
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