Individual
DR. RYAN COELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS, FACP
Contact information
Practice address
1700 S DIXIE HWY STE 103, BOCA RATON, FL 33432-7406
(561) 368-4057
Mailing address
1700 S DIXIE HWY STE 103, BOCA RATON, FL 33432-7406
(561) 368-4057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN 20705
FL
1223P0700X
Prosthodontics
Primary
DN20705
FL
Other
Enumeration date
07/31/2014
Last updated
08/23/2023
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