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Organization
NICEVILLE FAMILY DENTAL CENTER, P.L.
Active
Organization
NICEVILLE FAMILY DENTAL CENTER, P.L.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALF PETER ZAPATA D.D.S. (DIRECTOR)
(850) 729-1223
Entity
Organization
Contact information
Practice address
908 PALM BLVD S, NICEVILLE, FL 32578-2603
(850) 729-1223
(850) 678-6086
Mailing address
908 PALM BLVD S, NICEVILLE, FL 32578-2603
(850) 729-1223
(850) 678-6086
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34790
BLUE CROSS OF FLORIDA
FL
01
—
809857
UNITED CONCORDIA
—
Enumeration date
08/29/2006
Last updated
08/22/2020
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