Bill Coker DDS
Dentist in Diamond Bar, CA. Organization (NPI-2).
NPI number1962862326
StatusActive
Last updated in NPPESApr 3, 2016
Details
- NPI
- 1962862326
- Entity type
- Organization (NPI-2)
- Legal business name
- Bill Coker DDS
- Organization subpart
- No
- Enumeration date
- Feb 28, 2016
- Last updated
- Apr 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 22770 | CA | Yes |
Practice location
1111 Grand AveDiamond Bar, CA 91765-4171
Phone 909-861-2811
Mailing address
371 Links DrPalm Desert, CA 92211-1705
Phone 760-898-2796
Authorized official
Bill Glen Coker
Owner
7608982796
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