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Organization
SENIOR DENTAL CARE, LLC
Active
Organization
SENIOR DENTAL CARE, LLC
Active
Other names
Senior Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASSI LAYNE COPELAND RDH (DENTAL HYGIENIST)
(850) 674-1212
Entity
Organization
Contact information
Practice address
20120 CENTRAL AVEWEST, BLOUNTSTOWN, FL 32424
(850) 674-1212
(850) 674-2951
Mailing address
20120 CENTRAL AVEWEST, BLOUNTSTOWN, FL 32424
(850) 674-1212
(850) 674-2951
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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