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Organization

COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA

Active
Parent organization
COMFORTABLECARE DETAL HEALTH PROFESSIONALS, PA
Other names
Family Dental at Lakeside Village
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMFORTABLECARE DETAL HEALTH PROFESSIONALS, PA
Authorized official
PAM HARDIEK (INSURANCE/CREDENTIALING)
(217) 540-5100
Entity
Organization

Contact information

Practice address
1375 TOWN CENTER DR, LAKELAND, FL 33803-7964
(863) 686-2162
(863) 686-2615
Mailing address
1375 TOWN CENTER DR, LAKELAND, FL 33803-7964
(863) 686-2162
(863) 686-2615

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
04/26/2010
Last updated
04/26/2010
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