Organization
FAMILY AND COSMETIC DENTISTRY OF HOLIDAY
Active
Other names
Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AFSANEH K DEAN DMD (PRESIDENT)
(727) 938-2866
Entity
Organization
Contact information
Practice address
4916 MILE STRETCH DR, HOLIDAY, FL 34690-4333
(727) 938-2866
Mailing address
4916 MILE STRETCH DR, HOLIDAY, FL 34690-4333
(727) 938-2866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16150
FL
Other
Enumeration date
06/11/2007
Last updated
08/22/2020
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