Ali Cooper

NPI #1154721637 in Jackson, Michigan

Provider Information

NPI Number: 1154721637
Entity Type: Individual
Name: Ali Cooper
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: Sep 3, 2014
Last Updated: Sep 3, 2014

Practice Location

Address: 268 ACKERSON LAKE DR
City: Jackson
State: Michigan
ZIP Code: 49201-8755
Phone: (517) 795-3214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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