Organization
CARLOS A COELLO DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A. COELLO DMD (OWNER)
(561) 368-4057
Entity
Organization
Contact information
Practice address
1700 S DIXIE HWY, SUITE 103, BOCA RATON, FL 33432-7452
(561) 368-4057
(561) 368-3405
Mailing address
1700 S DIXIE HWY, SUITE 103, BOCA RATON, FL 33432-7452
(561) 368-4057
(561) 368-3405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN12137
FL
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN12137
DENTAL LICENSE
FL
Enumeration date
09/30/2015
Last updated
09/11/2023
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