| NPI | 1568918373 |
|---|---|
| Doing Business As | COPPELL HERITAGE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ELISE ELAINE PRUETT Owner 972-304-0891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28899) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |