Organization
DR MARK S COICAN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEVEN COICAN DMD MS (OWNER)
(321) 723-8727
Entity
Organization
Contact information
Practice address
2179 JULIAN AVE NE, SUITE 2, PALM BAY, FL 32905-4042
(321) 723-8727
(321) 676-5756
Mailing address
2179 JULIAN AVE NE, SUITE 2, PALM BAY, FL 32905-4042
(321) 723-8727
(321) 676-5756
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN9032
FL
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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