Gw Cooper and Rm Shifman Dental Corporation
NPI #1972574960 in Ventura, California
Provider Information
- NPI Number
- 1972574960
- Entity Type
- Organization
- Organization Name
- Gw Cooper and Rm Shifman Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 30, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2772 JOHNSON DR
- Address 2
- SUITE 101
- City
- Ventura
- State
- California
- ZIP Code
- 93003-8582
- Phone
- (805) 658-1577
Authorized Official
- Name
- DR. GARY W. COOPER, DDS
- Title
- SHAREHOLDER/DIRECTOR
- Phone
- (805) 658-1577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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