Individual
MARILYN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
173 SAINT PATRICKS DR STE 204, WALDORF, MD 20603-5531
(301) 645-6500
Mailing address
2200 OPITZ BLVD, SUITE 220, WOODBRIDGE, VA 22191-3321
(703) 492-0080
(703) 492-0543
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006895
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057342600
—
MD
Enumeration date
12/08/2006
Last updated
10/01/2025
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