Organization
JOHN P COOLICAN DMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P COOLICAN DMD (PRESIDENT)
(570) 343-8166
Entity
Organization
Contact information
Practice address
803 S MAIN AVE, SCRANTON, PA 18504-2757
(570) 343-8166
(855) 429-2485
Mailing address
803 S MAIN AVE, SCRANTON, PA 18504-2757
(570) 343-8166
(855) 429-2585
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS028134L
PA
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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