Organization
FLORIDA DENTAL PROFESSIONALS, P.A.
Active
Parent organization
FLORIDA DENTAL PROFESSIONALS, P.A.
Other names
Dental Arts of Palm Harbor
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA DENTAL PROFESSIONALS, P.A.
Authorized official
CASSANDRA TEUTSCH (CREDENTIALING COORDINATOR)
(217) 540-8972
Entity
Organization
Contact information
Practice address
35691 US 19 N, PALM HARBOR, FL 34684-1739
(727) 785-8017
Mailing address
35691 US 19 N, PALM HARBOR, FL 34684-1739
(727) 785-8017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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