Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Other names
Pavilion Crossing Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Authorized official
KENDRA WALKER (CREDENTIALING COORDINATOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
3711 US HWY 301, RIVERVIEW, FL 33578
(813) 518-8561
Mailing address
3711 US HWY 301, RIVERVIEW, FL 33578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18222
FL
Other
Enumeration date
02/16/2015
Last updated
02/20/2015
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