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NPI Code Detail

MEDICARE: DR. CORAL ELISE POSERT DDS

MEDICARE: DR. CORAL ELISE POSERT DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist36610CA

General Provider Information

NPI Number : 1639279813
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CORAL ELISE POSERT DDS
Provider Business Mailing Address
First Line : 1141 PEAR TREE LN STE 100
Second Line :
City : NAPA
State : CA
Zip : 94558-6485
Country : US
Telephone Number : 72-541-7707
Fax Number :
Provider Business Practice Location Address
First Line : 911 WASHINGTON ST
Second Line :
City : CALISTOGA
State : CA
Zip : 94515-1433
Country : US
Telephone Number : 707-709-2308
Fax Number : 707-254-1779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 10/03/2023

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Directions to “ DR. CORAL ELISE POSERT DDS” Practice Location

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