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Organization

HALCYON DENTAL, P.A.

Active
Other names
GC Dental Arts
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH GULLE D.D.S. (VICE PRESIDENT)
(813) 672-4900
Entity
Organization

Contact information

Practice address
13051 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
(813) 672-4900
(813) 672-4400
Mailing address
13051 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
(813) 672-4900
(813) 672-4400

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
07/21/2008
Last updated
07/21/2008
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