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Organization
STILL WATERS DENTISTRY PALM HARBOR, PLLC
Active
Organization
STILL WATERS DENTISTRY PALM HARBOR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMELYN GOODPASTER (DENTIST)
(317) 847-9782
Entity
Organization
Contact information
Practice address
31980 US 19 N, PALM HARBOR, FL 34684-3730
(727) 772-1120
Mailing address
31980 US 19 N, PALM HARBOR, FL 34684-3730
(727) 772-1120
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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