Organization
COZI DENTAL, PLLC
Active
Other names
Cozi Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA KIM DDS (OWNER)
(214) 495-7900
Entity
Organization
Contact information
Practice address
1545 E MAIN ST, STE 200, ALLEN, TX 75002-4488
(214) 495-7900
(214) 495-7910
Mailing address
1545 E MAIN ST, STE 200, ALLEN, TX 75002-4488
(214) 495-7900
(214) 495-7910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27796
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235441221
NPI TYPE 1
TX
Enumeration date
02/01/2016
Last updated
06/30/2016
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