Organization
FLORIDA DENTAL PROFESSIONALS, P.A.
Active
Other names
Naples Periodontist
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA WALKER (ENROLLMENT TEAM LEAD)
(217) 540-8513
Entity
Organization
Contact information
Practice address
4933 TAMIAMI TRL N STE 100, NAPLES, FL 34103-3028
(217) 540-5100
Mailing address
4933 TAMIAMI TRL N STE 100, NAPLES, FL 34103-3028
(217) 540-5100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
05/02/2019
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