Coral Dental Pllc

NPI #1295291904 in Pharr, Texas

Provider Information

NPI Number: 1295291904
Entity Type: Organization
Organization Name: Coral Dental Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Feb 18, 2019
Last Updated: Nov 7, 2019

Practice Location

Address: 6503 S CAGE BLVD
City: Pharr
State: Texas
ZIP Code: 78577-9182
Phone: (956) 380-2482

Authorized Official

Name: SHAHROUZ AKHAVAN
Title: DENTIST
Phone: (956) 380-2482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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