MEDICARE: COCO DENTAL CENTER PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1023542206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COCO DENTAL CENTER PLLC

Provider Business Mailing Address
First Line	:	7253 RAWLINS LN
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-4442
Country	:	US
Telephone Number	:	469-261-7889
Fax Number	:

Provider Business Practice Location Address
First Line	:	3450 FOREST LN
Second Line	:	SUITE 101
City	:	DALLAS
State	:	TX
Zip	:	75234-7714
Country	:	US
Telephone Number	:	469-261-7889
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	DR. DANIEL CHO
Credential	:	D.M.D.
Telephone Number	:	469-161-7889

Provider Enumeration Date	:	04/14/2017
Last Update Date	:	04/14/2017

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Directions to “COCO DENTAL CENTER PLLC ” Practice Location

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