Organization
COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA
Active
Other names
Complete Dental at Lakeside
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA WALKER (ENROLLMENT TEAM LEAD)
(217) 540-8513
Entity
Organization
Contact information
Practice address
2715 W FAIRBANKS AVE STE 100, WINTER PARK, FL 32789-3327
(407) 628-0111
Mailing address
2715 W FAIRBANKS AVE STE 100, WINTER PARK, FL 32789-3327
(407) 628-0111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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