Organization
CHARLES W. SCHMIDT DDS PA
Active
Other names
East Lake Center for Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W. SCHMIDT DDS (PRESIDENT)
(941) 365-1717
Entity
Organization
Contact information
Practice address
4852 RIDGEMOOR BLVD, PALM HARBOR, FL 34685-1742
(727) 787-6453
(727) 771-7452
Mailing address
4852 RIDGEMOOR BLVD, PALM HARBOR, FL 34685-1742
(727) 787-6453
(727) 771-7452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN8986
FL
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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