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Organization
DENTAL SPECIALTY CENTER OF NAPLES, PA
Active
Organization
DENTAL SPECIALTY CENTER OF NAPLES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GOMEZ (PROVIDER RELATIONS SPECIALIST)
(305) 274-2499
Entity
Organization
Contact information
Practice address
2332 PINE RIDGE RD, NAPLES, FL 34109-2003
(239) 213-1733
Mailing address
13195 SW 134TH ST FL 2, MIAMI, FL 33186-4461
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
12/17/2012
Last updated
08/01/2014
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