Individual
MR. DANIEL MARK COEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
110 WEST MONTGOMERY STREET, CRESTON, IA 50801-2407
(641) 782-8014
(641) 782-8490
Mailing address
110 WEST MONTGOMERY STREET, CRESTON, IA 50801-2407
(641) 782-8014
(641) 782-8490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6118
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126664
—
IA
Enumeration date
01/04/2007
Last updated
07/08/2007
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