Organization
COFFMAN DENTAL, LLC
Active
Other names
Wasilla Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN WILLIAM COFFMAN DDS (MEMBER/OWNER)
(907) 376-5315
Entity
Organization
Contact information
Practice address
351 W SWANSON AVE STE 1, WASILLA, AK 99654-6853
(907) 376-5315
(907) 376-7855
Mailing address
351 W SWANSON AVE STE 1, WASILLA, AK 99654-6853
(907) 376-5315
(907) 376-7855
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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