DR. Graydon H. Coon, DDS

NPI #1417174822 in Portage, Michigan

Provider Information

NPI Number
1417174822
Entity Type
Individual
Name
DR. Graydon H. Coon, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Apr 19, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1250 E MILHAM AVE
ZIP Code
49002-3015
Phone
(269) 327-6100

Specialties & Taxonomy Codes

Specialty
Dentist

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