| Coral Dental Pa | |
|
1214 Lafayette St Cape Coral FL 33914 | |
| (239) 603-4210 | |
| Not Available |
| Full Name | Coral Dental Pa |
|---|---|
| Speciality | Dentist |
| Location | 1214 Lafayette St, Cape Coral, Florida |
| Authorized Official Name and Position | Juan Castellanos (PRESIDENT) |
| Authorized Official Contact | 2396034210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral Dental Pa 1214 Lafayette St Cape Coral FL 33904 Ph: (239) 603-4210 | Coral Dental Pa 1214 Lafayette St Cape Coral FL 33914 Ph: (239) 603-4210 |
| NPI Number | 1881422731 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881422731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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