Individual
DR. EFRAIN CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4280 LAVISTA RD STE C117, TUCKER, GA 30084-5315
(678) 688-4811
(404) 855-4913
Mailing address
4280 LAVISTA RD STE C117, TUCKER, GA 30084-5315
(678) 688-4811
(404) 855-4913
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015888
GA
1223G0001X
General Practice Dentistry
DN14839
FL
Other
Enumeration date
10/02/2006
Last updated
10/31/2022
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