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Organization
SAND DOLLAR DENTAL, INC
Active
Organization
SAND DOLLAR DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL S GRAVES D.D.S. (OWNER)
(850) 712-2307
Entity
Organization
Contact information
Practice address
300 HOLLYWOOD BLVD SE, FORT WALTON BEACH, FL 32548-5727
(850) 712-2307
Mailing address
2631 HIDDEN CREEK DR, NAVARRE, FL 32566-6704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21942
FL
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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