West Coast Dental Partners
NPI #1205700663 in Mount Dora, Florida
Provider Information
- NPI Number
- 1205700663
- Entity Type
- Organization
- Organization Name
- West Coast Dental Partners
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WEST COAST DENTAL PARTNERS
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 30, 2025
- Last Updated
- Sep 30, 2025
Practice Location
- Address
- 4701 N HIGHWAY 19A STE 1
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-2046
- Phone
- (352) 268-1707
Authorized Official
- Name
- TINA CANALEJO HILLER
- Title
- CREDENTIALING COORDINATOR
- Phone
- (813) 389-4724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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