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1265008502
COAST DENTAL P.A.
LAKELAND, FL
NPI
1265008502
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Entity Type
Organization
Authorized Contact
MELODY RIVERA
Credentialing Manager
813-350-7166
Organization Subpart ?
Yes
Primary Taxonomy
122300000X Dentist
Enumeration Date
2021-05-27
Last Update Date
2021-05-27
Business Address
COAST DENTAL P.A.
4258 US HIGHWAY 98 N
LAKELAND, FL 33809-3820
Phone number: 863-937-0190
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Mailing Address
COAST DENTAL P.A.
5706 BENJAMIN CENTER DR STE 103
TAMPA, FL 33634-5262
Phone number: 813-288-1999
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