Coppell Oral and Facial Surgery, Pllc

NPI #1407341191 in Coppell, Texas

Provider Information

NPI Number
1407341191
Entity Type
Organization
Organization Name
Coppell Oral and Facial Surgery, Pllc
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jun 26, 2018
Last Updated
Jul 10, 2024

Practice Location

Address
600 S DENTON TAP RD STE 300
State
Texas
ZIP Code
75019-4533
Phone
(972) 366-0065

Authorized Official

Name
DR. IGOR N TIKHONOV, DDS, MD
Title
OWNER/DOCTOR
Phone
(972) 366-0065

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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