Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Other names
St. Lucie West Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Authorized official
KENDRA WALKER (CREDENTIALING COORDINATOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
1384 SW ST. LUCIE, PORT ST. LUCIE, FL 34986
(772) 380-4469
Mailing address
1384 SW ST. LUCIE WEST, PORT ST. LUCIE, FL 34986
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20755
FL
Other
Enumeration date
03/30/2015
Last updated
04/24/2015
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