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Organization
SANTA ROSA BEACH FAMILY DENTAL LLC
Active
Organization
SANTA ROSA BEACH FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN MYRICK DDS (OWNER)
(850) 428-0901
Entity
Organization
Contact information
Practice address
3570 US HWY 98 W, SANTA ROSA BEACH, FL 32459
(850) 428-0901
Mailing address
1848 GREAT HAMMOCK BND, FREEPORT, FL 32439-6695
(850) 953-7005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/10/2026
Last updated
08/10/2026
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