Individual
GABRIELLE COE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
205 S RACE ST, ATLANTA, IL 61723-7586
(217) 648-2828
Mailing address
PO BOX 445, ATLANTA, IL 61723-0445
(217) 648-2828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032148
IL
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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