Individual
DR. KYLE COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1448 LAKEVIEW AVE, DRACUT, MA 01826-3420
(978) 957-6300
Mailing address
1448 LAKEVIEW AVE, DRACUT, MA 01826-3420
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857908
MA
Other
Enumeration date
05/22/2018
Last updated
04/13/2022
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