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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