Organization
GULF COAST DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA M MATHEWS (BUSINESS MANAGER)
(352) 344-4747
Entity
Organization
Contact information
Practice address
259 E HIGHLAND BLVD, INVERNESS, FL 34452-4996
(352) 344-4747
(352) 344-1942
Mailing address
259 E HIGHLAND BLVD, INVERNESS, FL 34452-4996
(352) 344-4747
(352) 344-1942
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN18310
FL
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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