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NPI Code Detail

MEDICARE: YES DENTAL COIT LLC

MEDICARE: YES DENTAL COIT LLC
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
11223G0001XGeneral Practice Dentistry28721TX

General Provider Information

NPI Number : 1962948596
Entity Type Code : Organization
Provider Name (Legal Business Name) : YES DENTAL COIT LLC
Provider Business Mailing Address
First Line : 14215 COIT RD
Second Line : #112
City : DALLAS
State : TX
Zip : 75254-2800
Country : US
Telephone Number : 972-701-8282
Fax Number : 214-367-5896
Provider Business Practice Location Address
First Line : 220 E SEMINARY DR
Second Line : #100
City : FORT WORTH
State : TX
Zip : 76115-2607
Country : US
Telephone Number : 972-701-8282
Fax Number : 214-367-5896
Authorized Official
Title or Position : DENTIST/ OWNER
Name : DR. KATI YOON
Credential : DMD
Telephone Number : 214-466-1400
Provider Enumeration Date : 01/06/2017
Last Update Date : 01/06/2017

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