Individual provider · Type 1 NPI
Edward Dale Cooper, DDS
General Practice Dentistry · Culver City, CA
NPI number
1396964136
Active
Practice location
9918 Venice Blvd
Culver City, CA 90232-2719
Fax (310) 837-6773
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 17664 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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- Kevin T. McNally, DDSGeneral Practice Dentistry Culver City, CA NPI 1063564706
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About NPI 1396964136
Edward Dale Cooper, DDS's National Provider Identifier is 1396964136, issued on Apr 24, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Culver City, CA. The record was last updated on Jul 8, 2007.