Cooper, Marissa Nicole

Cooper, Marissa Nicole is an sole proprietor health care provider with primary practice located at 140 S University Dr , Pembroke Pines FL 33025-2234. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Cooper, Marissa Nicole can be contacted via phone (954) 431-0004.

Contact Information

Primary practice address
140 S University Dr Pembroke Pines FL 33025-2234
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN18639 Florida

Profile Details

NPI number 1912283136
LBN Legal business name Cooper, Marissa Nicole
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2011
Last updated Nov 2nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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