| Dan Copp, D.d.s., Inc. | |
|
1131 Pacific St San Luis Obispo CA 93401-3301 | |
| (805) 544-8805 | |
| (805) 543-0753 |
| Full Name | Dan Copp, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1131 Pacific St, San Luis Obispo, California |
| Authorized Official Name and Position | Daniel Rhomberg Copp (PRESIDENT) |
| Authorized Official Contact | 8055448805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dan Copp, D.d.s., Inc. 1131 Pacific St San Luis Obispo CA 93401-3301 Ph: (805) 544-8805 | Dan Copp, D.d.s., Inc. 1131 Pacific St San Luis Obispo CA 93401-3301 Ph: (805) 544-8805 |
| NPI Number | 1588984470 |
|---|---|
| Provider Enumeration Date | 06/02/2010 |
| Last Update Date | 06/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588984470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54732 (California) | Primary |
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Pacific Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1231 Osos St, San Luis Obispo, CA 93401 Phone: 805-544-3434 Fax: 805-544-3443 | |
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