| West Coast Dental Partners | |
|
106 Lee St Leesburg FL 34748-4913 | |
| (352) 645-3616 | |
| Not Available |
| Full Name | West Coast Dental Partners |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 106 Lee St, Leesburg, Florida |
| Authorized Official Name and Position | Tina Canalejo Hiller (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 8133894724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Dental Partners 106 Lee St Leesburg FL 34748-4913 Ph: (352) 645-3616 | West Coast Dental Partners 106 Lee St Leesburg FL 34748-4913 Ph: (352) 645-3616 |
| NPI Number | 1518831908 |
|---|---|
| Provider Enumeration Date | 09/30/2025 |
| Last Update Date | 09/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518831908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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