Organization
FLORIDA DENTAL PROFESSIONALS, P.A.
Active
Parent organization
FLORIDA DENTAL PROFESSIONALS, P.A.
Other names
Complete Dental Care of South Florida
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA DENTAL PROFESSIONALS, P.A.
Authorized official
BRITTANY HOWARD (CREDENTIALING CORD./AFFILIATIONS)
(217) 540-8946
Entity
Organization
Contact information
Practice address
819 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2659
(217) 540-5100
Mailing address
819 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2659
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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