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Organization

COAST DENTAL P.A.

Active
Parent organization
COAST DENTAL P.A.
Other names
Coast Dental-Naples
Organization subpart
Yes

Provider details

NPI number
Legal business name
COAST DENTAL P.A.
Authorized official
MELODY RIVERA (CREDENTIALING MANAGER)
(813) 350-7166
Entity
Organization

Contact information

Practice address
2095 9TH ST N, NAPLES, FL 34102-4806
(239) 430-1515
(239) 430-1518
Mailing address
5706 BENJAMIN CENTER DR STE 103, TAMPA, FL 33634-5262
(813) 288-1999

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
05/27/2021
Last updated
05/27/2021
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