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Organization

PAMELA OTTESEN DMD LLC

Active
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Organization

PAMELA OTTESEN DMD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAMELA OTTESEN DMD (DENTIST)
(850) 582-1009
Entity
Organization

Contact information

Practice address
1536 JOHN SIMS PKWY, NICEVILLE, FL 32578
(850) 582-1009
Mailing address
2030 KILDARE CIR, NICEVILLE, FL 32578-7308
(850) 582-1009

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
03/21/2014
Last updated
02/15/2021
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