Organization
CDPG, P.L.
Active
Parent organization
CDPG, P.L.
Other names
Christie Dental of Williston
Organization subpart
Yes
Provider details
NPI number
Legal business name
CDPG, P.L.
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
510 SW 5TH TER, WILLISTON, FL 32696-2548
(352) 528-6401
Mailing address
510 SW 5TH TER, WILLISTON, FL 32696-2548
(352) 528-6401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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