Michael D Cooper, DDS Valid NPI

Individual provider · Dentist · Tustin, CA

NPI

1053327320

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

34996 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-07-31

Last updated

2010-01-25