| NPI | 1952366973 |
|---|---|
| Former Legal Business Name | KENNETH COOPERMAN, DMD, PC |
| Entity Type | Organization |
| Authorized Contact | KENNETH BRUCE COOPERMAN Owner 718-993-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 0469571) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2024-05-14 |