Organization
VALLO CORAL SPRINGS PLLC
Active
Other names
Pine Ridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL COBOS (COO)
(773) 398-5423
Entity
Organization
Contact information
Practice address
9132 WILES RD FL 33065, CORAL SPRINGS, FL 33067-1993
(773) 398-5423
Mailing address
8331 GUNN HWY, TAMPA, FL 33626-1608
(773) 398-5423
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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