DR. Justin Coffman, D.D.S.

NPI #1396155131 in Wasilla, Alaska

Provider Information

NPI Number: 1396155131
Entity Type: Individual
Name: DR. Justin Coffman, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 1, 2014
Last Updated: Jul 9, 2014

Practice Location

Address: 351 W SWANSON AVE STE 1
City: Wasilla
State: Alaska
ZIP Code: 99654-6853
Phone: (907) 376-5315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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