| Shannon M. Coen D.m.d, Pc | |
|
16080 N 59th Ave Ste A Glendale AZ 85306-2339 | |
| (651) 398-9686 | |
| Not Available |
| Full Name | Shannon M. Coen D.m.d, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16080 N 59th Ave Ste A, Glendale, Arizona |
| Authorized Official Name and Position | Shannon M Coen (OWNER/PRESIDENT) |
| Authorized Official Contact | 6513989686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon M. Coen D.m.d, Pc 16080 N 59th Ave Ste A Glendale AZ 85306-2339 Ph: (651) 398-9686 | Shannon M. Coen D.m.d, Pc 16080 N 59th Ave Ste A Glendale AZ 85306-2339 Ph: (651) 398-9686 |
| NPI Number | 1659793115 |
|---|---|
| Provider Enumeration Date | 01/16/2014 |
| Last Update Date | 01/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659793115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D7588 (Arizona) | Primary |
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