Organization
CHARLES F COON DDS PLLC
Active
Other names
At Ease Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES FULCHER COON DDS (OWNER/DENTIST)
(517) 648-4503
Entity
Organization
Contact information
Practice address
701 NW MCNELLY RD STE 13, BENTONVILLE, AR 72712-9160
(517) 648-4503
Mailing address
7 MARIONET CIR, BELLA VISTA, AR 72714-5903
(517) 648-4503
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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