NPI | 1356620702 |
---|---|
Doing Business As | COOPER FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JORDAN TODD COOPER President 501-982-7547 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 3565) |
Enumeration Date | 2011-08-16 |
Last Update Date | 2011-08-16 |