Coast Dental of Nevada INC

NPI #1003195728 in Tampa, Florida

Provider Information

NPI Number: 1003195728
Entity Type: Organization
Organization Name: Coast Dental of Nevada INC
Primary Specialty: Dentist
Enumeration Date: Aug 11, 2011
Last Updated: May 30, 2018

Practice Location

Address: 5706 BENJAMIN CENTER DR STE 103
City: Tampa
State: Florida
ZIP Code: 33634
Phone: (813) 350-7160

Authorized Official

Name: DARLENE FINNELL
Title: DIRECTOR OF INS. AND CREDENTIALING
Phone: (813) 288-1999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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