Individual
CAMILO O MOYNELO COLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1620 S CONGRESS AVE STE 102, PALM SPRINGS, FL 33461-2128
(561) 508-5930
Mailing address
13707 BARBERRY DR, WELLINGTON, FL 33414-8143
(305) 302-7367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN23641
FL
Other
Enumeration date
07/05/2018
Last updated
08/15/2021
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