Organization
ADVANCED DENTISTRY OF CORAL SPRINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENAN BUITRAGO DDS (PRESIDENT)
(917) 574-3822
Entity
Organization
Contact information
Practice address
2232 N UNIVERSITY DR STE B, CORAL SPRINGS, FL 33071-6184
(954) 997-5147
(954) 692-6496
Mailing address
2232 N UNIVERSITY DR STE B, CORAL SPRINGS, FL 33071-6184
(954) 997-5147
(954) 692-6496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
10/09/2021
Last updated
10/09/2021
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