Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Other names
Fairwater Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Authorized official
PAM HARDIEK (INSURANCE/CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
1221 W FAIRBANKS AVE, ORLANDO, FL 32804-1205
(407) 628-9091
(407) 256-4040
Mailing address
1221 W FAIRBANKS AVE, ORLANDO, FL 32804-1205
(407) 628-9091
(407) 256-4040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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