Individual
COLEMAN D MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8950 VILLA LA JOLLA DR STE A105, LA JOLLA, CA 92037-1704
(858) 452-5520
Mailing address
8950 VILLA LA JOLLA DR STE A105, LA JOLLA, CA 92037-1704
(858) 452-5520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
64711
CA
Other
Enumeration date
07/31/2013
Last updated
11/14/2022
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