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Individual
TAWNY RICHARDS-COPPOLA
Active
Individual
TAWNY RICHARDS-COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
062926
NY
122300000X
Dentist
Primary
105800
CA
122300000X
Dentist
34545
TX
1223G0001X
General Practice Dentistry
062926
NY
1223G0001X
General Practice Dentistry
105800
CA
1223G0001X
General Practice Dentistry
34545
TX
1223G0001X
General Practice Dentistry
DN22270
FL
Other
Enumeration date
09/19/2016
Last updated
08/05/2023
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