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Organization

CORAL REEF DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL CAPUTO DDS (MANAGING MEMBER)
(727) 789-1333
Entity
Organization

Contact information

Practice address
3490 E LAKE RD STE A, PALM HARBOR, FL 34685-2421
(727) 789-1333
(727) 772-4166
Mailing address
3490 E LAKE RD STE A, PALM HARBOR, FL 34685-2421
(727) 789-1333
(727) 772-4166

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/10/2025
Last updated
10/10/2025
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