Organization
COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA
Active
Parent organization
COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA
Other names
First Coast Smiles
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
4201 ROOSEVELT BLVD, JACKSONVILLE, FL 32210-2027
(904) 388-3559
Mailing address
4201 ROOSEVELT BLVD, JACKSONVILLE, FL 32210-2027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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