Organization
PENSACOLA PERIODONTICS AND IMPLANT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY NOBLE (PRACTICE ADMINISTRATOR)
(850) 433-1543
Entity
Organization
Contact information
Practice address
4357 SPANISH TRL, PENSACOLA, FL 32504-4942
(850) 433-1543
(850) 433-1564
Mailing address
4357 SPANISH TRL, PENSACOLA, FL 32504-4942
(850) 433-1543
(850) 433-1564
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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