DR. Jill Heather Pucel-Koopman, DDS

NPI #1093704520 in Rogers, Minnesota

Provider Information

NPI Number
1093704520
Entity Type
Individual
Name
DR. Jill Heather Pucel-Koopman, DDS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Oct 18, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
14115 JAMES RD
Address 2
SUITE 303
City
Rogers
ZIP Code
55374-9468
Phone
(763) 428-2226

Specialties & Taxonomy Codes

Specialty
Dentist

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