| Coral Dental Pllc | |
|
6503 S Cage Blvd Pharr TX 78577-9182 | |
| (956) 380-2482 | |
| (956) 380-1084 |
| Full Name | Coral Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6503 S Cage Blvd, Pharr, Texas |
| Authorized Official Name and Position | Shahrouz Akhavan (DENTIST) |
| 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 6503 S Cage Blvd Pharr TX 78577-9182 Ph: (956) 380-2482 |
| NPI Number | 1295291904 |
|---|---|
| Provider Enumeration Date | 02/18/2019 |
| Last Update Date | 11/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295291904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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