Coral Dental PA

NPI #1881422731 in Cape Coral, Florida

Provider Information

NPI Number: 1881422731
Entity Type: Organization
Organization Name: Coral Dental PA
Primary Specialty: Dentist
Enumeration Date: Jul 23, 2024
Last Updated: Jul 31, 2024

Practice Location

Address: 1214 LAFAYETTE ST
City: Cape Coral
State: Florida
ZIP Code: 33914
Phone: (239) 603-4210

Authorized Official

Name: JUAN CASTELLANOS
Title: PRESIDENT
Phone: (239) 603-4210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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