Marissa N. Cooper D.m.d., P.a. | |
1600 Town Center Cir Ste A Weston FL 33326-3641 | |
(954) 389-1002 | |
Not Available |
Full Name | Marissa N. Cooper D.m.d., P.a. |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1600 Town Center Cir Ste A, Weston, Florida |
Authorized Official Name and Position | Marissa Nicole Cooper (PRESIDENT) |
Authorized Official Contact | 7722153555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marissa N. Cooper D.m.d., P.a. 10651 Sw 55th St Cooper City FL 33328-5856 Ph: (772) 215-3555 | Marissa N. Cooper D.m.d., P.a. 1600 Town Center Cir Ste A Weston FL 33326-3641 Ph: (954) 389-1002 |
NPI Number | 1194200840 |
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Provider Enumeration Date | 09/28/2018 |
Last Update Date | 09/28/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194200840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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