Organization
WALTER I. COLEMAN, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER COLEMAN DDS (OWNER)
(616) 606-0337
Entity
Organization
Contact information
Practice address
111 W DAYTON ST, FREMONT, MI 49412-1112
(231) 924-3600
Mailing address
111 W DAYTON ST, FREMONT, MI 49412-1112
(231) 924-3600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901018831
MI
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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