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Organization
NW FLORIDA IMPLANTSEDATION DENTISTRY, INC.
Active
Organization
NW FLORIDA IMPLANTSEDATION DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD RADOMSKI D.M.D., P.A. (PRESIDENT)
(850) 934-8220
Entity
Organization
Contact information
Practice address
1371 COUNTRY CLUB RD, GULF BREEZE, FL 32563-3451
(850) 934-8220
(850) 932-3661
Mailing address
1371 COUNTRY CLUB RD, GULF BREEZE, FL 32563-3451
(850) 934-8220
(850) 932-3661
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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