Coperhaver Dental, LLC
NPI #1578836417 in Richmond Hill, Georgia
Provider Information
- NPI Number
- 1578836417
- Entity Type
- Organization
- Organization Name
- Coperhaver Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 22, 2012
- Last Updated
- Feb 22, 2012
Practice Location
- Address
- 10230 FORD AVENUE
- City
- Richmond Hill
- State
- Georgia
- ZIP Code
- 31324-8854
- Phone
- (912) 756-2936
Authorized Official
- Name
- PHILIP A COPENHAVER, D.D.S
- Title
- DENTIST/BUISINESS OWNER
- Phone
- (912) 756-2936
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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