| Coffman Dental, Llc | |
|
351 W Swanson Ave Ste 1 Wasilla AK 99654-6853 | |
| (907) 376-5315 | |
| (907) 376-7855 |
| Full Name | Coffman Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 351 W Swanson Ave Ste 1, Wasilla, Alaska |
| Authorized Official Name and Position | Justin William Coffman (MEMBER/OWNER) |
| Authorized Official Contact | 9073765315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coffman Dental, Llc 351 W Swanson Ave Ste 1 Wasilla AK 99654-6853 Ph: (907) 376-5315 | Coffman Dental, Llc 351 W Swanson Ave Ste 1 Wasilla AK 99654-6853 Ph: (907) 376-5315 |
| NPI Number | 1568028587 |
|---|---|
| Provider Enumeration Date | 05/15/2019 |
| Last Update Date | 05/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568028587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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