Individual
DR. JUSTIN COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
351 W SWANSON AVE STE 1, WASILLA, AK 99654-6853
(907) 376-5315
Mailing address
351 W SWANSON AVE STE 1, WASILLA, AK 99654-6853
(907) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1571
AK
Other
Enumeration date
05/01/2014
Last updated
07/09/2014
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