Provider Demographics
NPI:1558697821
Name:LOUCA, SONIA G (DDS)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:G
Last Name:LOUCA
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:220 S DENTON TAP RD STE 104
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-5098
Mailing Address - Country:US
Mailing Address - Phone:972-462-8655
Mailing Address - Fax:972-393-9180
Practice Address - Street 1:220 S DENTON TAP RD STE 104
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-5098
Practice Address - Country:US
Practice Address - Phone:972-462-8655
Practice Address - Fax:972-393-9180
Is Sole Proprietor?:No
Enumeration Date:2009-10-21
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX197211223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry