Organization
CHILDREN'S CLINIC OF COSHOCTON COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DUNLAP DDS (CLINIC DIRECTOR)
(740) 622-8421
Entity
Organization
Contact information
Practice address
406 S 15TH ST, COSHOCTON, OH 43812-2285
(740) 622-8421
Mailing address
406 S 15TH ST, COSHOCTON, OH 43812-2285
(740) 622-8421
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019143
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0624891
—
OH
Enumeration date
04/12/2007
Last updated
08/22/2020
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