Organization
CORAL DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CASTELLANOS (PRESIDENT)
(239) 603-4210
Entity
Organization
Contact information
Practice address
1214 LAFAYETTE ST, CAPE CORAL, FL 33914
(239) 603-4210
Mailing address
1214 LAFAYETTE ST, CAPE CORAL, FL 33904
(239) 603-4210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/31/2024
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