Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Active
Parent organization
COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA
Other names
Emerald Waters Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
136A STAFF DR NE, FT WALTON BCH, FL 32548-5062
(850) 243-3566
Mailing address
136A STAFF DR NE, FT WALTON BCH, FL 32548-5062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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