Individual
DR. CARLOS A. COELLO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1700 S DIXIE HWY, SUITE 103, BOCA RATON, FL 33432-7452
(561) 368-4057
(561) 368-3405
Mailing address
1700 S DIXIE HWY, SUITE 103, BOCA RATON, FL 33432-7452
(561) 368-4057
(561) 368-3405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0012137
FL
332BC3200X
Customized Equipment (DME)
DN12137
FL
Other
Enumeration date
07/24/2006
Last updated
09/11/2023
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