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Organization

COPPERAS COVE DENTISTRY AND ORTHODONTICS PLLC

Active
Other names
Cove Total Dentistry and Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization

Contact information

Practice address
2726 E BUSINESS 190, SUITE 112, COPPERAS COVE, TX 76522
(254) 542-3500
(972) 590-8809
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(254) 542-3500
(254) 542-4013

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
01/06/2016
Last updated
01/04/2023
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