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Organization
PALM HARBOR SMILES PA
Active
Organization
PALM HARBOR SMILES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW CROUCH (VICE PRESIDENT)
(321) 872-8820
Entity
Organization
Contact information
Practice address
2702 TAMPA RD, PALM HARBOR, FL 34684-3311
(727) 362-6603
(727) 362-6594
Mailing address
2702 TAMPA RD, PALM HARBOR, FL 34684-3311
(727) 362-6603
(727) 362-6594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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