Individual
DR. BRIAN DAMIAN COERVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1401 ARLINGTON, ADA, OK 74820-2636
(580) 332-4872
(580) 436-1971
Mailing address
1401 ARLINGTON, ADA, OK 74820-2636
(580) 332-4872
(580) 436-1971
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4346
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100177730A
—
OK
Enumeration date
08/20/2006
Last updated
07/12/2012
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