| Michael D Cooper Dds Dental Corporation | |
|
26302 La Paz Rd Ste 217 Mission Viejo CA 92691-5328 | |
| (949) 350-8546 | |
| Not Available |
| Full Name | Michael D Cooper Dds Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 26302 La Paz Rd Ste 217, Mission Viejo, California |
| Authorized Official Name and Position | Michael D Cooper (OWNER) |
| Authorized Official Contact | 9493508546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Cooper Dds Dental Corporation 26302 La Paz Rd Ste 217 Mission Viejo CA 92691-5328 Ph: (949) 350-8546 | Michael D Cooper Dds Dental Corporation 26302 La Paz Rd Ste 217 Mission Viejo CA 92691-5328 Ph: (949) 350-8546 |
| NPI Number | 1861906174 |
|---|---|
| Provider Enumeration Date | 11/22/2017 |
| Last Update Date | 09/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861906174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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