Lawrence Mark Coggan DDS

NPI 1053371732 - Dentist - 122300000X

NPI Details
NPI 1053371732
Gender Male
Enumeration Date 03/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
27101 PLYMOUTH RD
SUITE A
REDFORD MI, 48239-2291, US
Phone (313) 937-8266
Fax
Business Location
27101 PLYMOUTH RD
SUITE A
REDFORD MI, 48239-2291, US
Phone (313) 937-8266
Fax
Toxanomy
Taxonomy Code 122300000X
License State Michigan
License Number 2903008389
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According to our database, Lawrence Mark Coggan DDS NPI is 1053371732, taxonomy code is 122300000X and license number is 2903008389, license state is located at Michigan. Lawrence Mark Coggan DDS physically located at 27101 Plymouth Rd, Redford MI, 48239-2291. NPI Number Lawrence Mark Coggan DDS has the Individual type.

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1053371732 NPI number is provided on an as is basis without warranty of any kind. 1053371732 is maintained by the National Plan & Provider Enumeration System. The contents of Lawrence Mark Coggan DDS are for informational purposes only.