Rebecca Lee Coalson, DMD Valid NPI
Individual provider · Dentist · East Alton, IL
- NPI
- 1508951575
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 019026829 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-10-04
- Last updated
- 2011-11-21
Practice location
2 Terminal Dr, Suite 8
East Alton, IL 62024-2268
(618) 259-1419