# COCONU FAMILY DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023450830
- **Authorized official:** DR. MARIANA N COCONU DDS (DENTIST)
- **Authorized official phone:** (405) 921-7598

## Contact information

- **Practice address:** 305 NORTHRIDGE CIR, GUYMON, OK 73942-2735
- **Practice address phone:** (580) 338-5541
- **Mailing address:** 305 NORTHRIDGE CIR, GUYMON, OK 73942-2735
- **Mailing address phone:** (580) 338-5541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 6474 | OK | Yes |

## Other

- **Enumeration date:** 07/22/2013
- **Last updated:** 07/22/2013