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Isaac Coronel
NPI 1609550912 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1500 Park Ave
Saint Louis, MO 63104 - Phone
- (314) 814-8700
- Organisation at this address
- Affinia Healthcare
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 85
Registry record
- Primary taxonomy
- Public Health Dentistry
1223D0001X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri