Organization · Type 2 NPI
Shannon M. Coen D.m.d, PC
Dental Clinic/Center · Glendale, AZ
NPI number
1659793115
Active
Practice location
16080 N 59th Ave Ste A
Glendale, AZ 85306-2339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D7588 (AZ) |
Dental Clinic/Center: Definition to come...
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About NPI 1659793115
Shannon M. Coen D.m.d, PC's National Provider Identifier is 1659793115, issued on Jan 16, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Glendale, AZ. The record was last updated on Jan 16, 2014.