NPI 1003107848

Michael J.G. Coon

Practitioner Dental Laboratory Technician Houghton Lake, MI

Practice location

Address: 3232 W Houghton Lake Dr, Houghton Lake, MI 48629-8244
Phone: (989) 366-6971

Registered specialties

Dental Laboratory Technician Primary

Dental Providers Taxonomy 126900000X

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Registry record

NPI: 1003107848
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Apr 2011
Record last updated: 27 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.