Organization
MAGNOLIA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH C COLLAZO DDS (DR)
(954) 227-1417
Entity
Organization
Contact information
Practice address
9625 WESTVIEW DR, CORAL SPRINGS, FL 33076-2513
(954) 227-1417
(954) 227-0197
Mailing address
9625 WESTVIEW DR, CORAL SPRINGS, FL 33076-2513
(954) 227-1417
(954) 227-0197
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0012295
FL
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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