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Organization

CHARLES T. COLEMAN, D.M.D.,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES COLEMAN D.M.D. (PRESIDENT)
(985) 893-4882
Entity
Organization

Contact information

Practice address
5207 PINNACLE PKWY, COVINGTON, LA 70433-9191
(985) 893-4882
(985) 893-4883
Mailing address
5207 PINNACLE PKWY, COVINGTON, LA 70433-9191
(985) 893-4882
(985) 893-4883

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5013
LA

Other

Enumeration date
11/09/2013
Last updated
11/09/2013
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