| Coral Dental Pllc | |
|
1503 N Texas Blvd Weslaco TX 78599-4213 | |
| (956) 380-2482 | |
| Not Available |
| Full Name | Coral Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1503 N Texas Blvd, Weslaco, Texas |
| Authorized Official Name and Position | Shahrouz Akhavan (OWNER) |
| Authorized Official Contact | 9563802482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral Dental Pllc 307 E University Dr Edinburg TX 78539-3549 Ph: (956) 380-2482 | Coral Dental Pllc 1503 N Texas Blvd Weslaco TX 78599-4213 Ph: (956) 380-2482 |
| NPI Number | 1295349850 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 09/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295349850 | NPI | - | NPPES |
| 34127429 | Other | TX | DRIVER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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