Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Other names
Brooker Creek Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Authorized official
KIM WILSON (CRED SUPERIVOSR)
(217) 540-5170
Entity
Organization
Contact information
Practice address
36207 E LAKE RD, PALM HARBOR, FL 34685-3143
(727) 787-9696
(727) 786-2334
Mailing address
36207 E LAKE RD, PALM HARBOR, FL 34685-3143
(727) 787-9696
(727) 786-2334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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