Individual
MEGAN COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
220 JOHNS CREEK ROAD, MILTON, WV 25541-1513
(304) 743-1407
(304) 743-4516
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4453
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
WV
Other
Enumeration date
05/27/2020
Last updated
07/16/2024
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