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Organization
PERIODONTAL ASSOCIATES OF NORTH FLORIDA, PLLC
Active
Organization
PERIODONTAL ASSOCIATES OF NORTH FLORIDA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER E. COLON DMD, MS (PRESIDENT/DENTIST)
(850) 562-6111
Entity
Organization
Contact information
Practice address
2160 CAPITAL CIR NE STE 100, TALLAHASSEE, FL 32308-4391
(850) 562-6111
(850) 562-7263
Mailing address
2160 CAPITAL CIR NE STE 100, TALLAHASSEE, FL 32308-4391
(850) 562-6111
(850) 562-7263
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
FL
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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