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Organization
PARK FAMILY & COSMETIC DENTISTRY
Active
Organization
PARK FAMILY & COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAI HUYNH-LE (OWNER/DENTIST)
(239) 263-1151
Entity
Organization
Contact information
Practice address
690 GOODLETTE FRANK RD, NAPLES, FL 34102-5613
(239) 263-1151
(239) 263-2725
Mailing address
690 GOODLETTE FRANK RD, NAPLES, FL 34102-5613
(239) 263-1151
(239) 263-2725
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16365
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-29117304
NPI TYPE 1
FL
Enumeration date
01/07/2013
Last updated
01/07/2013
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