COAST DENTAL P.A.

PORT ST LUCIE, FL
NPI1891361135
Entity TypeOrganization
Authorized ContactMELODY RIVERA
Credentialing Manager
813-350-7166
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2021-05-27
Last Update Date2021-05-27
Business Address
COAST DENTAL P.A.
1321 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986-2139
Phone number: 772-343-0179
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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