Organization
COPPELSON DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN COPPELSON M.D., D.D.S. (OWNER)
(310) 579-9710
Entity
Organization
Contact information
Practice address
10921 WILSHIRE BLVD STE 912, LOS ANGELES, CA 90024-3906
(310) 579-9710
Mailing address
10921 WILSHIRE BLVD STE 912, LOS ANGELES, CA 90024-3906
(310) 579-9710
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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