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Organization
SHANNON M. COEN D.M.D, PC
Active
Organization
SHANNON M. COEN D.M.D, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON M COEN D.M.D. (OWNER/PRESIDENT)
(651) 398-9686
Entity
Organization
Contact information
Practice address
16080 N 59TH AVE STE A, GLENDALE, AZ 85306-2339
(651) 398-9686
Mailing address
16080 N 59TH AVE STE A, GLENDALE, AZ 85306-2339
(651) 398-9686
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D7588
AZ
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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