GEORGE R. COOPER

FORT WAYNE, IN
NPI1760123343
Entity TypeOrganization
Authorized ContactKELLY C STONE
Office Associate
260-489-1508
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2022-04-06
Last Update Date2022-04-06
Business Address
GEORGE R. COOPER
2121 E DUPONT RD STE E
FORT WAYNE, IN 46825-1546
Phone number: 260-489-1508
Mailing Address
GEORGE R. COOPER
2121 E DUPONT RD STE E
FORT WAYNE, IN 46825-1546
Phone number: 260-489-1508
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FORT WAYNE PEDIATRIC DENTISTRY LLC