| Koperly Inc | |
|
27 Main St Unit 104 Edwards CO 81632-8109 | |
| (832) 436-8277 | |
| Not Available |
| Full Name | Koperly Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 27 Main St, Edwards, Colorado |
| Authorized Official Name and Position | Mostafa S Koperly (PRESIDENT) |
| Authorized Official Contact | 8324368277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koperly Inc 27 Main St Unit 104 Edwards CO 81632-8109 Ph: (832) 436-8277 | Koperly Inc 27 Main St Unit 104 Edwards CO 81632-8109 Ph: (832) 436-8277 |
| NPI Number | 1124489018 |
|---|---|
| Provider Enumeration Date | 03/18/2016 |
| Last Update Date | 03/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124489018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DEN00202418 (Colorado) | Primary |
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