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Individual

DR. GARY CARL COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
2011 DRAKE DR, RICHARDSON, TX 75081-3237
(972) 234-8963
Mailing address
2011 DRAKE DR, RICHARDSON, TX 75081-3237
(972) 234-8963

Taxonomy

Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
17402
TX

Other

Enumeration date
02/23/2010
Last updated
02/23/2010
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