Individual
ANNA KAY COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 E LASALLE DR, BISMARCK, ND 58503-5716
(701) 639-0869
Mailing address
4807 GRANITE DR, BISMARCK, ND 58503-6127
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2376
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
06/11/2019
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