Isaac Coronel
NPI #1609550912 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1609550912
- Entity Type
- Individual
- Name
- Isaac Coronel
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Dental Public Health
- Enumeration Date
- Jun 15, 2023
- Last Updated
- Jun 15, 2023
Practice Location
- Address
- 1500 PARK AVE
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63104-3024
- Phone
- (314) 814-8700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
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