SearchMissouriPublic Health Dentistry

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