Individual
DOMONIQUE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12253 E 104TH PL, COMMERCE CITY, CO 80022-2095
(303) 853-8000
Mailing address
48 N IRVINGTON ST, AURORA, CO 80018-4613
(719) 468-6094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00204134
CO
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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