Individual
DR. HARVEY SAMUEL COCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
89 NORTH ST, GRANVILLE, NY 12832-1138
(518) 642-2111
(518) 642-2891
Mailing address
7403 O'CONNOR DRIVE, ROUND ROCK, TX 78681
(512) 651-5090
(512) 310-1268
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
044790
NY
1223G0001X
General Practice Dentistry
Primary
31594
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02362544
—
NE
05
—
1004207
—
VT
Enumeration date
08/23/2005
Last updated
07/21/2022
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