Individual
DR. SHANNON MARA COEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
16080 N 59TH AVE, SUITE A, GLENDALE, AZ 85306-2339
(602) 978-1100
(602) 419-2244
Mailing address
16080 N. 59TH AVENUE, SUITE A, GLENDALE, AZ 85306-2339
(602) 978-1100
(602) 419-2244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7588
AZ
Other
Enumeration date
11/25/2008
Last updated
12/11/2025
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