NPI 1073129284

Maurice Coleman

Practitioner Dental Assistant Peterson Afb, CO

Practice location

Address: 1055 E Stewart Ave Bldg 2018, Peterson Afb, CO 80914-2900
Phone: (719) 556-1333

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1073129284
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2020
Record last updated: 22 Sep 2020

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.