Coulson & Sherry Family Dentistry, P.c.

NPI #1154331171 in Yukon, Oklahoma

Provider Information

NPI Number: 1154331171
Entity Type: Organization
Organization Name: Coulson & Sherry Family Dentistry, P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 9, 2006
Last Updated: Apr 22, 2008

Practice Location

Address: 1025 E VANDAMENT AVE
Address 2: SUITE 300
City: Yukon
State: Oklahoma
ZIP Code: 73099-4910
Phone: (405) 354-1861

Authorized Official

Name: DR. KEITH DALE COULSON, D.D.S.
Title: DENTIST
Phone: (405) 354-1861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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