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Organization
EAGLE CREEK DENTISTRY, INC.
Active
Organization
EAGLE CREEK DENTISTRY, INC.
Active
Other names
Valentine Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MEAGHAN DANIELLE VALENTINE (OFFICE MANAGER)
(239) 398-4410
Entity
Organization
Contact information
Practice address
12692 TAMIAMI TRL E, NAPLES, FL 34113-8431
(239) 417-6453
(239) 775-6628
Mailing address
12692 TAMIAMI TRL E, NAPLES, FL 34113-8431
(239) 417-6453
(239) 775-6628
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
05/02/2007
Last updated
04/10/2023
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