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Organization
SAFETY HARBOR FAMILY DENTISTRY PA
Active
Organization
SAFETY HARBOR FAMILY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUIFANG CAI DMD (PRESIDENT)
(781) 975-1560
Entity
Organization
Contact information
Practice address
353 MAIN ST, SAFETY HARBOR, FL 34695-3646
(781) 975-1560
Mailing address
353 MAIN ST, SAFETY HARBOR, FL 34695-3646
(781) 975-1560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN21230
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578943353
INDIVIDUAL NPI
FL
01
—
DN21230
DENTAL LICENSENUMBER
FL
Enumeration date
05/27/2016
Last updated
05/27/2016
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