MEDICARE: DR. SONIA G LOUCA DDS

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	1223P0221X	Pediatric Dentistry	19721	TX

General Provider Information

NPI Number	:	1558697821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SONIA G LOUCA DDS

Provider Business Mailing Address
First Line	:	220 S DENTON TAP RD STE 104
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-5098
Country	:	US
Telephone Number	:	972-462-8655
Fax Number	:	972-393-9180

Provider Business Practice Location Address
First Line	:	220 S DENTON TAP RD STE 104
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-5098
Country	:	US
Telephone Number	:	972-462-8655
Fax Number	:	972-393-9180

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2009
Last Update Date	:	01/31/2011

Similar Medicare Providers

1134121288 — DR. RUSSELL KING BASS D.D.S.
Practice Location Address:

220 S DENTON TAP RD , STE 101
COPPELL, TX
75019-5098

Practice Phone: 972-393-6880
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1124239066 — DEEANN BENNETT, D.D.S., P.A.
Practice Location Address:

220 S DENTON TAP RD , SUITE 102
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Practice Fax:

1184929176 — SONIA LOUCA, DDS, PLLC
Practice Location Address:

220 S DENTON TAP RD STE 104
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75019-5098

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Practice Fax:

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Practice Location Address:

220 S DENTON TAP RD STE 102
COPPELL, TX
75019-5098

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Practice Fax:

1083305239 — DENTAL HEALTH ASSOCIATES OF TX, P.C.
Practice Location Address:

220 S DENTON TAP RD STE 103
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1578677332 — RIVERCHASE REHAB & WELLNESS PA
Practice Location Address:

870 S DENTON TAP RD STE 200
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