Individual
KEVIN COPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8606 VILLAGE DR STE B, SAN ANTONIO, TX 78217
(210) 654-6882
(210) 654-0036
Mailing address
8606 VILLAGE DR STE B, SAN ANTONIO, TX 78217-5506
(210) 654-6882
(210) 654-0036
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30980
TX
Other
Enumeration date
06/18/2015
Last updated
10/26/2022
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