| NPI | 1366294936 |
|---|---|
| Doing Business As | CORAL SPRINGS DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CHAD HENDRICKS Credentialing 612-859-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-05-15 |