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Individual

JUSTINE ANNE COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
2807 WILMINGTON RD, NEW CASTLE, PA 16105-1263
(724) 656-3486
(724) 598-7337
Mailing address
100 SHENANGO AVE, SHARON, PA 16146-1503
(724) 656-3486
(724) 598-7337

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
PHDH000440
PA
124Q00000X
Dental Hygienist
DH071654
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1034997540001
PA
05
1034997540002
PA
Enumeration date
06/01/2018
Last updated
05/16/2025
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