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Organization

COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS PA

Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS PA
Other names
St Augustine Family Dentistry
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS PA
Authorized official
AMY M KROEGER (INSURANCE COORDINATOR)
(217) 540-5100
Entity
Organization

Contact information

Practice address
2520 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086-6194
(904) 797-4833
(904) 797-7128
Mailing address
2520 US HIGHWAY 1 S, ST AUGUSTINE, FL 32086-6194
(904) 797-4833
(904) 797-7128

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 7363
FL

Other

Enumeration date
04/16/2007
Last updated
01/18/2008
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