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Organization

COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.

Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Other names
Beautiful Smiles by Design
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Authorized official
KIM WILSON (CREDENTIALING SUPERVISOR)
(217) 540-5170
Entity
Organization

Contact information

Practice address
8252 SW 92ND ST BLDG A, 3B, MIAMI, FL 33156
(305) 595-1556
Mailing address
8252 SW 92ND ST BLDG A, 3B, MIAMI, FL 33156
(305) 595-1556

Taxonomy

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

Other

Enumeration date
07/19/2013
Last updated
07/19/2013
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