Individual
MARIANA NICOLETA COCONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
305 NORTHRIDGE CIR, GUYMON, OK 73942-2735
(405) 921-7598
Mailing address
1808 SW 24TH ST, MOORE, OK 73170-7476
(405) 921-7598
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6474
OK
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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