| Brian D. Coerver, Dds | |
|
1401 Arlington St Ada OK 74820-2636 | |
| (580) 332-4872 | |
| (580) 436-1971 |
| Full Name | Brian D. Coerver, Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1401 Arlington St, Ada, Oklahoma |
| Authorized Official Name and Position | Brian Damian Coerver (DDS) |
| Authorized Official Contact | 5803324872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian D. Coerver, Dds 1401 Arlington St Ada OK 74820-2636 Ph: (580) 332-4872 | Brian D. Coerver, Dds 1401 Arlington St Ada OK 74820-2636 Ph: (580) 332-4872 |
| NPI Number | 1003074782 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 05/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003074782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4346 (Oklahoma) | Primary |
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