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Organization

ABSOLUTE DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DARLENE COOK (OFFICE MANAGER)
(850) 784-0818
Entity
Organization

Contact information

Practice address
2314 WEST 23RD STREET, PANAMA CITY, FL 32405
(850) 784-0818
(850) 215-5587
Mailing address
2314 WEST 23RD STREET, PANAMA CITY, FL 32405
(850) 784-0818
(850) 215-5587

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN 8483
FL
1223G0001X
General Practice Dentistry
DN12472
FL
1223P0700X
Prosthodontics
Primary
DN12472
FL

Other

Enumeration date
08/24/2011
Last updated
08/24/2011
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