| Dr. Cooper2 Gentle Dental Assoc., Ltd. | |
|
5101 Washington St Suite 2v Gurnee IL 60031-5916 | |
| (847) 244-4000 | |
| (847) 244-5911 |
| Full Name | Dr. Cooper2 Gentle Dental Assoc., Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5101 Washington St, Gurnee, Illinois |
| Authorized Official Name and Position | Howard Cooper (TREASURER) |
| Authorized Official Contact | 8472444000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Cooper2 Gentle Dental Assoc., Ltd. 5101 Washington St Suite 2v Gurnee IL 60031-5916 Ph: (847) 244-4000 | Dr. Cooper2 Gentle Dental Assoc., Ltd. 5101 Washington St Suite 2v Gurnee IL 60031-5916 Ph: (847) 244-4000 |
| NPI Number | 1982817839 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982817839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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