Individual
DR. EVEROD A COLEMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1601 WALNUT ST STE 720, PHILADELPHIA, PA 19102-2904
(215) 981-0380
Mailing address
1601 WALNUT ST STE 720, PHILADELPHIA, PA 19102-2904
(215) 981-0380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS018716L
PA
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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