Organization
COAST DENTAL OF SOUTH GEORGIA PC
Active
Other names
Coast Dental- Fort Stewart
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE FINNELL (DIRECTOR OF INS. AND CREDENTIALING)
(813) 288-1999
Entity
Organization
Contact information
Practice address
4010 W BOY SCOUT BLVD, SUITE 1100- CREDENTIALING, TAMPA, FL 33607-5727
(813) 288-1999
(813) 434-2325
Mailing address
4010 W BOY SCOUT BLVD, SUITE 1100- CREDENTIALING, TAMPA, FL 33607-5727
(813) 288-1999
(813) 434-2325
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/15/2016
Last updated
08/22/2016
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