DR. Michael A Coppola, DMD PC

NPI #1205050275 in Blasdell, New York

Provider Information

NPI Number: 1205050275
Entity Type: Individual
Name: DR. Michael A Coppola, DMD PC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD PC
Enumeration Date: Apr 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3720 SOUTH PARK AVENUE
City: Blasdell
State: New York
ZIP Code: 14219
Phone: (716) 822-1118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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