Cody Burnell Coleman, DDS

NPI #1316070303 in Kirtland, New Mexico

Provider Information

NPI Number: 1316070303
Entity Type: Individual
Name: Cody Burnell Coleman, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 13, 2007
Last Updated: Aug 11, 2011

Practice Location

Address: 3 COUNTY ROAD 6523
City: Kirtland
State: New Mexico
ZIP Code: 87417-9452
Phone: (505) 598-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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