Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Other names
Lake Miona Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Authorized official
KENDRA WALKER (CREDENTIALING TEAM LEAD)
(217) 540-8312
Entity
Organization
Contact information
Practice address
4232 E COUNTY ROAD 466, SUITE 101, OXFORD, FL 34484
(352) 461-0830
(352) 461-0853
Mailing address
4232 E COUNTY ROAD 466, SUITE 101, OXFORD, FL 34484
(352) 461-0830
(352) 461-0853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
10/13/2016
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