Corey Cooper

NPI #1427636299 in Atlanta, Georgia

Provider Information

NPI Number: 1427636299
Entity Type: Individual
Name: Corey Cooper
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Mar 31, 2021
Last Updated: Mar 31, 2021

Practice Location

Address: 290 MARTIN LUTHER KING JR DR SE UNIT 1012
City: Atlanta
State: Georgia
ZIP Code: 30312-2525
Phone: (833) 878-3567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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