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Organization

COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA

Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Authorized official
PAMELA S HARDIEK (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization

Contact information

Practice address
2900 LAKE WASHINGTON RD, SUITE #3, MELBOURNE, FL 32935-3400
(321) 259-0217
(321) 242-0667
Mailing address
2900 LAKE WASHINGTON RD, SUITE #3, MELBOURNE, FL 32935-3400
(321) 259-0217
(321) 242-0667

Taxonomy

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

Other

Enumeration date
04/30/2008
Last updated
04/11/2011
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