Jerry E Cooper Dds, Sc

NPI #1265730287 in Sheboygan, Wisconsin

Provider Information

NPI Number
1265730287
Entity Type
Organization
Organization Name
Jerry E Cooper Dds, Sc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 1, 2011
Last Updated
Mar 1, 2011

Practice Location

Address
1407 N 8TH ST
ZIP Code
53081-3400
Phone
(920) 452-1110

Authorized Official

Name
DR. JERRY EDWARD COOPER, D.D.S.
Title
PRESIDENT
Phone
(920) 452-1110

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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