DR. Jonah Thomas Cooper-Leavitt, D.M.D.

NPI #1245412162 in Monmouth, Oregon

Provider Information

NPI Number
1245412162
Entity Type
Individual
Name
DR. Jonah Thomas Cooper-Leavitt, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Dec 3, 2007
Last Updated
May 12, 2010

Practice Location

Address
512 MAIN ST E
Address 2
SUITE 100
State
Oregon
ZIP Code
97361-2369
Phone
(503) 837-0512

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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