Organization
TRAE PAPPAS DDS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAE HARBESON PAPPAS DDS (OWNER/PRESIDENT)
(850) 685-8461
Entity
Organization
Contact information
Practice address
5170 S FERDON BLVD, CRESTVIEW, FL 32536-9258
(850) 689-2332
Mailing address
5170 S FERDON BLVD, CRESTVIEW, FL 32536-9258
(850) 689-2332
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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