| Carlos A Coello Dmd Pa | |
|
1700 S Dixie Hwy Suite 103 Boca Raton FL 33432-7452 | |
| (561) 368-4057 | |
| (561) 368-3405 |
| Full Name | Carlos A Coello Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 1700 S Dixie Hwy, Boca Raton, Florida |
| Authorized Official Name and Position | Carlos A. Coello (OWNER) |
| Authorized Official Contact | 5613684057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos A Coello Dmd Pa 1700 S Dixie Hwy Suite 103 Boca Raton FL 33432-7452 Ph: (561) 368-4057 | Carlos A Coello Dmd Pa 1700 S Dixie Hwy Suite 103 Boca Raton FL 33432-7452 Ph: (561) 368-4057 |
| NPI Number | 1750751038 |
|---|---|
| Provider Enumeration Date | 09/30/2015 |
| Last Update Date | 09/11/2023 |
| Medicare PECOS PAC ID | 9335596279 |
|---|---|
| Medicare Enrollment ID | O20231114002031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750751038 | NPI | - | NPPES |
| DN12137 | Other | FL | DENTAL LICENSE |
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