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Organization
FRED D. COFFMAN, D.D.S., INC.
Active
Organization
FRED D. COFFMAN, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED D COFFMAN DDS (PRESIDENT)
(916) 784-3337
Entity
Organization
Contact information
Practice address
1801 DOUGLAS BLVD, SUITE B, ROSEVILLE, CA 95661-2913
(916) 784-3337
(916) 784-7459
Mailing address
1801 DOUGLAS BLVD, SUITE B, ROSEVILLE, CA 95661-2913
(916) 784-3337
(916) 784-7459
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
029142
CA
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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