Organization
BILL COKER DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL GLEN COKER DDS (OWNER)
(760) 898-2796
Entity
Organization
Contact information
Practice address
1111 GRAND AVE, DIAMOND BAR, CA 91765-4171
(909) 861-2811
Mailing address
371 LINKS DR, PALM DESERT, CA 92211-1705
(760) 898-2796
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22770
CA
Other
Enumeration date
02/28/2016
Last updated
04/03/2016
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