Individual
DR. MICHAEL A COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD PC
Contact information
Practice address
3720 SOUTH PARK AVENUE, BLASDELL, NY 14219
(716) 822-1118
(716) 822-1119
Mailing address
3720 SOUTH PARK AVENUE, BLASDELL, NY 14219
(716) 822-1118
(716) 822-1119
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041223
NY
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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