Thomas M Coburn, DDS Valid NPI
Individual provider · General Practice Dentistry · Birmingham, MI
- NPI
- 1568413623
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 15593 (MI)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-05-13
- Last updated
- 2023-01-09
Practice location
2151 E 14 Mile Rd
Birmingham, MI 48009-7247
(248) 645-2710