| NPI | 1184929176 |
|---|---|
| Doing Business As | COPPELL DENTISTRY FOR KIDS |
| Entity Type | Organization |
| Authorized Contact | SONIA G LOUCA Manager 972-462-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 19721) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-01-21 |