Organization
PERIODONTAL ASSOCIATES OF NORTH FLORIDA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER E. COLON DMD, MS (PRESIDENT/DENTIST)
(850) 562-6111
Entity
Organization
Contact information
Practice address
2160 CAPITAL CIR NE STE 100, TALLAHASSEE, FL 32308-4391
(850) 562-6111
(850) 562-7263
Mailing address
2160 CAPITAL CIR NE STE 100, TALLAHASSEE, FL 32308-4391
(850) 562-6111
(850) 562-7263
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
FL
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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