Organization
GREENBERG DENTAL SPECIALTY GROUP
Active
Other names
Greenberg Dental Specialty Group
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI GARDINER (CREDENTIALING COORDINATOR)
(407) 772-5124
Entity
Organization
Contact information
Practice address
926 GREAT POND DR STE 2003, ALTAMONTE SPRINGS, FL 32714-7244
(407) 788-6533
Mailing address
926 GREAT POND DR STE 2003, ALTAMONTE SPRINGS, FL 32714-7244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN7501
FL
Other
Enumeration date
05/22/2008
Last updated
09/02/2015
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