Individual
DR. ZACHARY EVAN RUFUS DETTLAFF COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8239 ROGERS AVE, FORT SMITH, AR 72903-5553
(479) 221-9342
Mailing address
2500 S 56TH ST APT 3, FORT SMITH, AR 72903-3711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4603
AR
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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