| NPI | 1457975039 |
|---|---|
| Doing Business As | COPPELL FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANDREW THOMAS HOLOVNIA Owner 952-237-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-05-30 |
| Last Update Date | 2020-05-30 |