Copperas Cove Dentistry and Orthodontics Pllc

NPI #1558925636 in Copperas Cove, Texas

Provider Information

NPI Number
1558925636
Entity Type
Organization
Organization Name
Copperas Cove Dentistry and Orthodontics Pllc
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 24, 2019
Last Updated
Apr 24, 2019

Practice Location

Address
2726 E BUSINESS 190 SUITE 112
State
Texas
ZIP Code
76522
Phone
(254) 542-3500

Authorized Official

Name
FAITH GASKINS
Title
DIRECTOR OF CREDENTIALING
Phone
(972) 869-3789

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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