Individual
DR. DUSTIN R COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
21083 N JOHN WAYNE PKWY STE C105, MARICOPA, AZ 85239-2961
(520) 568-5600
Mailing address
1310 N DESOTO ST, CHANDLER, AZ 85224-3919
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6939
AZ
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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