West Coast Dental Partners

NPI #1497629836 in Lady Lake, Florida

Provider Information

NPI Number
1497629836
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
1060 S US HIGHWAY 441
State
Florida
ZIP Code
32159-5237
Phone
(352) 290-6001

Authorized Official

Name
TINA CANALEJO HILLER
Title
CREDENTIALING COORDINATOR
Phone
(813) 389-4724

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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