Organization
BRENDA COPELAND DDS PA
Active
Parent organization
BRENDA COPELAND DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRENDA COPELAND DDS
Authorized official
DR. BRENDA KAY COPELAND 02/29/1960 (DENTIST)
(903) 753-7515
Entity
Organization
Contact information
Practice address
723 N 4TH ST, LONGVIEW, TX 75601-5412
(903) 753-7515
(903) 753-0003
Mailing address
723 N 4TH ST, LONGVIEW, TX 75601-5412
(903) 753-7515
(903) 753-0003
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
16043
TX
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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