Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Other names
Mill Creek Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Authorized official
ALLISON VARNER (CREDENTIALING COORDINATOR)
(217) 540-6077
Entity
Organization
Contact information
Practice address
149 TUSCAN WAY, ST. AUGUSTINE, FL 32092-1860
(904) 201-3205
Mailing address
149 TUSCAN WAY, ST. AUGUSTINE, FL 32092-1860
(904) 201-3205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19379
FL
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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