CHARLES Y. COGHLAN

BLOOMINGTON, IN
NPI1073637450
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IN  12006549A)
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
-- CHARLES Y. COGHLAN D.M.D., M.S.D.
2911 E COVENANTER DR
BLOOMINGTON, IN 47401-6320
Phone number: 812-332-9269
Mailing Address
-- CHARLES Y. COGHLAN D.M.D., M.S.D.
5920 E LAMPKINS RIDGE RD
BLOOMINGTON, IN 47401-9726
Phone number: 812-339-8508
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