Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS
Other names
Island Walk Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS
Authorized official
PAM HARDIEK (CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
1647 COUNTRY ROAD 220, SUITE 101, FLEMING ISLAND, FL 32003
(904) 278-6229
(904) 269-3529
Mailing address
1647 COUNTRY ROAD 220, SUITE 101, FLEMING ISLAND, FL 32003
(904) 278-6229
(904) 269-3529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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