MARK ALLEN COOPER

CLEARLAKE, CA
NPI1912926411
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  23996)
Enumeration Date2006-07-18
Last Update Date2007-07-08
Business Address
Dr. MARK ALLEN COOPER DDS
3560 OLD HIGHWAY 53
CLEARLAKE, CA 95422-9251
Phone number: 707-994-9414
Mailing Address
Dr. MARK ALLEN COOPER DDS
15525 RUMSEY RD
CLEARLAKE, CA 95422-9594
Phone number: 707-995-3252
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