Individual
JOELLEN COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8820 36TH AVE NE STE 103, MARYSVILLE, WA 98270-7268
(360) 718-3098
Mailing address
8820 36TH AVE NE STE 103, MARYSVILLE, WA 98270-7268
(360) 718-3098
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1615
WY
122300000X
Dentist
Primary
DE61475737
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2021
Last updated
10/11/2023
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