| NPI | 1407341191 |
|---|---|
| Doing Business As | COPPELL ORAL AND FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | IGOR N TIKHONOV President 206-719-8396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 32448) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-09-13 |