Janice Katherine Coleman

NPI 1033550512 - Advanced Practice Dental Therapist - 125K00000X

NPI Details
NPI 1033550512
Gender Female
Enumeration Date 07/11/2013
Last Updated 07/11/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
395 W 24TH ST
17782 DIANTHUS AVE FONTANA CA.92335
SAN BERNARDINO CA, 92405-3721, US
Phone (909) 474-9434
Fax
Business Location
395 W 24TH ST
SAN BERNARDINO CA, 92405-3721, US
Phone (909) 474-9434
Fax
Toxanomy
Taxonomy Code 125K00000X
License State California
License Number C4106947
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According to our database, Miss Janice Katherine Coleman NPI is 1033550512, taxonomy code is 125K00000X and license number is C4106947, license state is located at California. Janice Katherine Coleman physically located at 395 W 24th St, San Bernardino CA, 92405-3721. NPI Number Janice Katherine Coleman has the Individual type.

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1033550512 NPI number is provided on an as is basis without warranty of any kind. 1033550512 is maintained by the National Plan & Provider Enumeration System. The contents of Janice Katherine Coleman are for informational purposes only.