NPI 1316030349

Coral West Dental P.C.

Organisation General Practice Dentistry Coralville, IA

Practice location

Address: 2575 Coral CT, Coralville, IA 52241-2811
Phone: (319) 545-2345
Fax: (319) 545-2349
Mailing address: 2575 Coral Court, Coralville, IA 52241

Authorised official

Name: Jefferey Edward Rubel
Title: Owner
Phone: (319) 545-2345

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 7419 (IA)

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Registry record

NPI: 1316030349
Entity type: Organization
NPI issued: 2 Oct 2006
Record last updated: 20 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.