Individual
COLT HARRISON CANEPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
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, TEQUESTA, FL 33469-8130
(772) 418-7864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN24119
FL
Other
Enumeration date
06/07/2019
Last updated
12/26/2023
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