DR. Cooper Differding, D.D.S

NPI #1588011845 in Mill Valley, California

Provider Information

NPI Number: 1588011845
Entity Type: Individual
Name: DR. Cooper Differding, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: May 17, 2016
Last Updated: Mar 17, 2018

Practice Location

Address: 10 WILLOW ST
City: Mill Valley
State: California
ZIP Code: 94941-2845
Phone: (415) 388-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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