| Kopemak Dental Specialists, Pllc | |
|
444 Forest Sq Suite A Longview TX 75605-4463 | |
| (903) 758-3329 | |
| Not Available |
| Full Name | Kopemak Dental Specialists, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 444 Forest Sq, Longview, Texas |
| Authorized Official Name and Position | Alejandro Kovacs (PRESIDENT/CEO) |
| Authorized Official Contact | 6128178115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kopemak Dental Specialists, Pllc 444 Forest Sq Suite A Longview TX 75605-4463 Ph: (903) 758-3329 | Kopemak Dental Specialists, Pllc 444 Forest Sq Suite A Longview TX 75605-4463 Ph: (903) 758-3329 |
| NPI Number | 1841641669 |
|---|---|
| Provider Enumeration Date | 06/22/2016 |
| Last Update Date | 06/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841641669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 27210 (Texas) | Primary |
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