Organization
EMERALD COAST DENTAL SLEEP MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA M GRIFFIN DMD (CEO)
(850) 249-9311
Entity
Organization
Contact information
Practice address
900 THOMAS DR, PANAMA CITY BEACH, FL 32408-7442
(850) 249-9331
(850) 249-9332
Mailing address
900 THOMAS DR, PANAMA CITY BEACH, FL 32408-7442
(850) 249-9331
(850) 249-9332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
FL
332BC3200X
Customized Equipment (DME)
Primary
DN17668
FL
Other
Enumeration date
03/07/2012
Last updated
01/13/2020
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