Organization
BRIAN D. COERVER, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DAMIAN COERVER DDS (DDS)
(580) 332-4872
Entity
Organization
Contact information
Practice address
1401 ARLINGTON ST, ADA, OK 74820-2636
(580) 332-4872
(580) 436-1971
Mailing address
1401 ARLINGTON ST, ADA, OK 74820-2636
(580) 332-4872
(580) 436-1971
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4346
OK
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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