Kelly Cooper, D.D.S.
NPI #1386191252 in Jbsa Randolph, Texas
Provider Information
- NPI Number
- 1386191252
- Entity Type
- Individual
- Name
- Kelly Cooper, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Sep 7, 2016
- Last Updated
- Sep 24, 2020
Practice Location
- Address
- 221 3RD ST W BLDG 1040
- City
- Jbsa Randolph
- State
- Texas
- ZIP Code
- 78150-4800
- Phone
- (210) 652-3301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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