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Organization

COLT CANEPA DMD LLC

Active
Other names
Colt Canepa DMD LLC, Canepa Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
COLT CANEPA DMD (OWNER, DENTIST)
(772) 418-7864
Entity
Organization

Contact information

Practice address
710 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-4752
(772) 334-4090
(772) 334-4837
Mailing address
10926 SE DEER MOSS TRL, JUPITER, FL 33469-8130
(772) 418-7864

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/18/2023
Last updated
12/18/2023
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