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Organization
VALLO CORAL SPRINGS PLLC
Active
Organization
VALLO CORAL SPRINGS PLLC
Active
Other names
Pine Ridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL COBOS (COO)
(773) 398-5423
Entity
Organization
Contact information
Practice address
9132 WILES RD FL 33065, CORAL SPRINGS, FL 33067-1993
(773) 398-5423
Mailing address
8331 GUNN HWY, TAMPA, FL 33626-1608
(773) 398-5423
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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