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Organization

PRECIDENT FLORIDA PLLC

Active
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Organization

PRECIDENT FLORIDA PLLC

Active
Parent organization
PRECIDENT FLORIDA PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRECIDENT FLORIDA PLLC
Authorized official
DR. SCOTTY L BOLDING DDS (OWNER)
(479) 957-4611
Entity
Organization

Contact information

Practice address
10601 SEMINOLE BLVD, LARGO, FL 33778-3329
(727) 397-8503
(727) 398-2679
Mailing address
10601 SEMINOLE BLVD, LARGO, FL 33778-3329
(727) 397-8503
(727) 398-2679

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—

Other

Enumeration date
09/29/2022
Last updated
10/11/2022
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