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Isaac Coronel — NPI 1609550912, Saint Louis, MO | NPI Central

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Isaac Coronel

NPI 1609550912 · Public Health Dentistry · Saint Louis, MO

Provider details

NPI number: 1609550912
Entity type: Individual
Primary specialty: Public Health DentistryDental Providers
Sex: Male
Sole proprietor: Yes
License: 123 (MO)

Specialties & taxonomies

Public Health DentistryPrimary1223D0001XLicense 123 (MO)
Dental Providers

Practice location

1500 Park Ave

Saint Louis, MO 63104-3024

Phone: (314) 814-8700

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

6018 Arthur Ave

Saint Louis, MO 63139-1915

Registry dates

Enumerated: 2023-06-15
Last updated: 2023-06-15
Certified: 2023-06-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.