Organization
CORAL DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHROUZ AKHAVAN (DENTIST)
(956) 380-2482
Entity
Organization
Contact information
Practice address
6503 S CAGE BLVD, PHARR, TX 78577-9182
(956) 380-2482
(956) 380-1084
Mailing address
307 E UNIVERSITY DR, EDINBURG, TX 78539-3549
(956) 380-2482
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
11/07/2019
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