West Coast Dental Partners
NPI #1932073319 in Summerfield, Florida
Provider Information
- NPI Number
- 1932073319
- 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
- 17820 SE 109TH AVE
- City
- Summerfield
- State
- Florida
- ZIP Code
- 34491-8968
- Phone
- (352) 320-5653
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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