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Organization
SHALIMAR FAMILY DENTISTRY
Active
Organization
SHALIMAR FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FLETCHER (OWNER)
(850) 651-6700
Entity
Organization
Contact information
Practice address
1 ELEVENTH AVENUE, D-3, SHALIMAR, FL 32579
(850) 651-6700
(850) 609-0796
Mailing address
1 ELEVENTH AVENUE, D-3, SHALIMAR, FL 32579
(850) 651-6700
(850) 609-0796
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/12/2006
Last updated
12/08/2014
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