| NPI | 1619051794 |
|---|---|
| Former Legal Business Name | DONALD G. COOPER DDS, PA. |
| Entity Type | Organization |
| Authorized Contact | ANNA CHASON Ofc. Mrg 772-283-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 6322) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-02-13 |