Individual
JOHN D COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
700 W IRONWOOD DR, STE 241, COEUR D ALENE, ID 83814-2656
(208) 664-4831
(208) 666-1804
Mailing address
700 W IRONWOOD DR, STE 241, COEUR D ALENE, ID 83814-2656
(208) 664-4831
(208) 666-1804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4188
ID
Other
Enumeration date
08/16/2007
Last updated
04/29/2014
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