Organization
COATOAM PERIODONTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON COATOAM (OFFICE MANAGER)
(407) 865-6363
Entity
Organization
Contact information
Practice address
195 W HIGHLAND ST, ALTAMONTE SPRINGS, FL 32714-2599
(407) 865-6363
(407) 865-5957
Mailing address
195 W HIGHLAND ST, ALTAMONTE SPRINGS, FL 32714-2599
(407) 865-6363
(407) 865-5957
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN00813
FL
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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