Individual
EMMETT LOVE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7407 NOLAND RD, SHAWNEE MISSION, KS 66216-4131
(877) 227-9892
(623) 321-6268
Mailing address
1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 85027-1228
(877) 227-9892
(623) 321-6268
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015209
MO
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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