Individual
DR. MICAH COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2111 NW CACHE RD, LAWTON, OK 73505-5213
(580) 699-8802
(580) 699-8803
Mailing address
11877 NE TONY CREEK RD, ELGIN, OK 73538-2046
(580) 704-8042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7696
OK
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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