Coast Dental P.a.

NPI #1992371223 in Altamonte Springs, Florida

Provider Information

NPI Number
1992371223
Entity Type
Organization
Organization Name
Coast Dental P.a.
Subpart
Yes (part of a larger organization)
Parent Organization
COAST DENTAL P.A.
Primary Specialty
Dentist
Enumeration Date
May 27, 2021
Last Updated
May 27, 2021

Practice Location

Address
520 W HIGHWAY 436 STE 1118
State
Florida
ZIP Code
32714-4000
Phone
(407) 862-2211

Authorized Official

Name
MELODY RIVERA
Title
CREDENTIALING MANAGER
Phone
(813) 350-7166

Specialties & Taxonomy Codes

Specialty
Dentist

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