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Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Active
Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Other names
Ultimate Dental Studio
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
4570 CLYDE MORRIS BLVD STE 1, PORT ORANGE, FL 32129-5402
(386) 355-4237
Mailing address
4570 CLYDE MORRIS BLVD STE 1, PORT ORANGE, FL 32129-5402
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/27/2024
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