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Individual

DAVID BRIAN COYNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4115 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4331
(253) 565-0404
Mailing address
3105 N 21ST ST, TACOMA, WA 98406-6613
(253) 579-7960

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009115
WA

Other

Enumeration date
09/26/2008
Last updated
09/26/2008
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