Maurice Coleman

NPI #1073129284 in Peterson Afb, Colorado

Provider Information

NPI Number: 1073129284
Entity Type: Individual
Name: Maurice Coleman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Sep 22, 2020
Last Updated: Sep 22, 2020

Practice Location

Address: 1055 E STEWART AVE BLDG 2018
City: Peterson Afb
State: Colorado
ZIP Code: 80914-2900
Phone: (719) 556-1333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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