Individual
GEORGE MACKAY COLEMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
14220 OLD HALLS FERRY ROAD, SUITE 100, FLORISSANT, MO 63034
(314) 355-2838
Mailing address
3739 ELM ST, SUITE 100, SAINT CHARLES, MO 63301-4345
(636) 443-2329
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
013199
MO
Other
Enumeration date
10/04/2006
Last updated
03/02/2016
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