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Organization
ADVANCED DENTAL CARE OF CLEARWATER P.A.
Active
Organization
ADVANCED DENTAL CARE OF CLEARWATER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 726-1611
Entity
Organization
Contact information
Practice address
3690 E BAY DR, SUITE L, LARGO, FL 33771-5903
(727) 535-5583
Mailing address
3690 E BAY DR, SUITE L, LARGO, FL 33771-5903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
01/07/2014
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