Organization
COLDWATER DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J BRUNS DDS (PRESIDENT)
(419) 678-4806
Entity
Organization
Contact information
Practice address
750 W MAIN ST, COLDWATER, OH 45828-1611
(419) 678-4806
(419) 678-0077
Mailing address
PO BOX 68, 750 W MAIN ST, COLDWATER, OH 45828-0068
(419) 678-4806
(419) 678-0077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0965282
—
OH
Enumeration date
10/10/2006
Last updated
08/22/2020
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