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Organization
MELISSA S AMUNDSON DDS PA
Active
Organization
MELISSA S AMUNDSON DDS PA
Active
Parent organization
MELISSA S AMUNDSON DDS PA
Other names
Perry Family Dental and Implants
Organization subpart
Yes
Provider details
NPI number
Legal business name
MELISSA S AMUNDSON DDS PA
Authorized official
MELISSA AMUNDSON DDS (OWNER/SURGEON)
(850) 584-4613
Entity
Organization
Contact information
Practice address
1204 N CENTER ST, PERRY, FL 32347-2038
(850) 584-4613
Mailing address
520 PLANTATION RD, TALLAHASSEE, FL 32303-4208
(847) 721-1265
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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