Healthcare Provider Details

I. General information

NPI: 1740970425
Provider Name (Legal Business Name): KEVIN A COE DDS AND GRANTS D ROSEN, DDS GENERAL PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 E ROMIE LN STE B
SALINAS CA
93901-4210
US

IV. Provider business mailing address

750 E ROMIE LN STE B
SALINAS CA
93901-4210
US

V. Phone/Fax

Practice location:
  • Phone: 831-424-0881
  • Fax: 831-424-1026
Mailing address:
  • Phone: 831-424-0881
  • Fax: 831-424-1026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: KEVIN A COE
Title or Position: OWNER
Credential: DDS
Phone: 831-424-0881