Organization
COCONU FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANA N COCONU DDS (DENTIST)
(405) 921-7598
Entity
Organization
Contact information
Practice address
305 NORTHRIDGE CIR, GUYMON, OK 73942-2735
(580) 338-5541
Mailing address
305 NORTHRIDGE CIR, GUYMON, OK 73942-2735
(580) 338-5541
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6474
OK
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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