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Organization
COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA
Active
Organization
COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA
Active
Other names
Complete Dental at Lakeside
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA WALKER (ENROLLMENT TEAM LEAD)
(217) 540-8513
Entity
Organization
Contact information
Practice address
2715 W FAIRBANKS AVE STE 100, WINTER PARK, FL 32789-3327
(407) 628-0111
Mailing address
2715 W FAIRBANKS AVE STE 100, WINTER PARK, FL 32789-3327
(407) 628-0111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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