Individual
COLLEEN MARIE MOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4400 N MIDKIFF RD, STE A-1, MIDLAND, TX 79705-4219
(432) 689-4867
Mailing address
25719 N 54TH DR, PHOENIX, AZ 85083-1869
(602) 881-3651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32034
TX
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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