Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Other names
Complete Dentistry of Orange City
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Authorized official
CASSANDRA PETERSEN (CREDENTIALING TEAM LEAD)
(217) 540-8972
Entity
Organization
Contact information
Practice address
751 HARLEY STRICKLAND BLVD, ORANGE CITY, FL 32763-7947
(386) 774-4777
Mailing address
751 HARLEY STRICKLAND BLVD, ORANGE CITY, FL 32763-7947
(386) 774-4777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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