| Coral West Dental P.c. | |
|
2575 Coral Ct Coralville IA 52241-2811 | |
| (319) 545-2345 | |
| (319) 545-2349 |
| Full Name | Coral West Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2575 Coral Ct, Coralville, Iowa |
| Authorized Official Name and Position | Jefferey Edward Rubel (OWNER) |
| Authorized Official Contact | 3195452345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral West Dental P.c. 2575 Coral Court Coralville IA 52241 Ph: (319) 545-2345 | Coral West Dental P.c. 2575 Coral Ct Coralville IA 52241-2811 Ph: (319) 545-2345 |
| NPI Number | 1316030349 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 10/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316030349 | NPI | - | NPPES |
| 2285676 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7419 (Iowa) | Primary |
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