Coffman Dental, LLC

NPI #1568028587 in Wasilla, Alaska

Provider Information

NPI Number: 1568028587
Entity Type: Organization
Organization Name: Coffman Dental, LLC
Primary Specialty: Dentist
Enumeration Date: May 15, 2019
Last Updated: May 15, 2019

Practice Location

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

Authorized Official

Name: DR. JUSTIN WILLIAM COFFMAN, DDS
Title: MEMBER/OWNER
Phone: (907) 376-5315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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