Brenda Copeland DDS PA

NPI #1710127378 in Longview, Texas

Provider Information

NPI Number
1710127378
Entity Type
Organization
Organization Name
Brenda Copeland DDS PA
Subpart
Yes (part of a larger organization)
Parent Organization
BRENDA COPELAND DDS
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 23, 2009
Last Updated
Feb 23, 2009

Practice Location

Address
723 N 4TH ST
State
Texas
ZIP Code
75601-5412
Phone
(903) 753-7515

Authorized Official

Name
DR. BRENDA KAY COPELAND, 02/29/1960
Title
DENTIST
Phone
(903) 753-7515

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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