Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS. P.A.
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Other names
Shore Haven Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
11919 ATLANTIC BLVD UNIT 101, JACKSONVILLE, FL 32225-2971
(904) 204-9918
(904) 204-9149
Mailing address
11919 ATLANTIC BLVD UNIT 101, JACKSONVILLE, FL 32225-2971
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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