Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS. P.A.
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS. P.A.
Other names
Portofino Bay Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS. P.A.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-8426
Entity
Organization
Contact information
Practice address
6340 N WICKHAM RD STE 101, MELBOURNE, FL 32940
(321) 622-3305
Mailing address
6340 N WICKHAM RD STE 101, MELBOURNE, FL 32940
(321) 622-3305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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