Organization
GULF COAST FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GLEEN HART JR. DN 16386 (DMD)
(850) 944-5515
Entity
Organization
Contact information
Practice address
3101 W MICHIGAN AVE, PENSACOLA, FL 32526-1869
(850) 944-5515
(850) 944-0644
Mailing address
3101 W MICHIGAN AVE, PENSACOLA, FL 32526-1869
(850) 944-5515
(850) 944-0644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN13084
FL
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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