Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Other names
Lee Vista Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Authorized official
PAM HARDIEK (INSURANCE/CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
8624 LEE VISTA BLVD, ORLANDO, FL 32829-8383
(407) 384-8099
(407) 384-8735
Mailing address
8624 LEE VISTA BLVD, ORLANDO, FL 32829-8383
(407) 384-8099
(407) 384-8735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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