| Dr Mark Allen Cooper, DDS | |
|
3560 Old Highway 53, Clearlake, CA 95422-9251 | |
| (707) 994-9414 | |
| (707) 994-6328 |
| Full Name | Dr Mark Allen Cooper |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 3560 Old Highway 53, Clearlake, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912926411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23996 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Allen Cooper, DDS 15525 Rumsey Rd, Clearlake, CA 95422-9594 Ph: (707) 995-3252 | Dr Mark Allen Cooper, DDS 3560 Old Highway 53, Clearlake, CA 95422-9251 Ph: (707) 994-9414 |
Thomas Hewlett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3560 Old Highway 53, Clearlake, CA 95422 Phone: 707-994-7271 Fax: 707-995-1407 | |
Dr. Malcom Earl Dillon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14872 Lakeshore Dr Ste A, Clearlake, CA 95422 Phone: 707-994-6929 | |
Dr. James Kinsel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3560 Old Highway 53, Clearlake, CA 95422 Phone: 707-994-9414 Fax: 707-994-6328 | |
Dr. Trina Chung, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4540 |