Individual
MAURICE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 E STEWART AVE BLDG 2018, PETERSON AFB, CO 80914-2900
(719) 556-1333
Mailing address
1055 E STEWART AVE BLDG 2018, PETERSON AFB, CO 80914-2900
(719) 556-1333
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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