Organization
DENTAL OFFICE OF PALM HARBOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI BLANTON (OFFICE ADMINSTRATION)
(727) 738-8845
Entity
Organization
Contact information
Practice address
3438 TAMPA RD STE 11, PALM HARBOR, FL 34684-3530
(727) 786-1077
(727) 781-2131
Mailing address
3438 TAMPA RD STE 11, PALM HARBOR, FL 34684-3530
(727) 786-1077
(727) 781-2131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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