| NPI | 1366409807 |
|---|---|
| Professional Name | LARRY L COPENHAVER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN8846) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: FL DN08846) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2015-06-14 |