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Organization

COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA

Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Other names
Smiles at Hunters Creek
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Authorized official
KENDRA WALKER (CREDENTIALING TEAM LEAD)
(217) 540-8312
Entity
Organization

Contact information

Practice address
13651 HUNTERS OAK DR, SUITE 105A, ORLANDO, FL 32837-7679
(555) 555-5555
Mailing address
13651 HUNTERS OAK DR, SUITE 105A, ORLANDO, FL 32837-7679

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/27/2015
Last updated
10/27/2015
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