KEITH D COOPER

PERRYVILLE, MO
NPI1447366885
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  DE015824)
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
Dr. KEITH D COOPER DDS
12 S JACKSON ST
PERRYVILLE, MO 63775-2515
Phone number: 573-547-6520
Mailing Address
Dr. KEITH D COOPER DDS
12 S JACKSON ST
PERRYVILLE, MO 63775-2515
Phone number: 573-547-6520