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Organization
CHILDREN AND TEEN DENTAL GROUP OF FLORIDA
Active
Organization
CHILDREN AND TEEN DENTAL GROUP OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SMITH (CEO)
(770) 744-4522
Entity
Organization
Contact information
Practice address
2707 TAMPA RD, PALM HARBOR, FL 34684-3312
(727) 785-6521
Mailing address
2300 LAKEVIEW PKWY STE 250, ALPHARETTA, GA 30009-3954
(770) 744-4522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
05/21/2026
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