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Organization

GOODREAU & RICHARDSON DENTISTRY

Active
Other names
Parkway Dental Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SARAH A LARSEN (OFFICE MANAGER)
(850) 230-3364
Entity
Organization

Contact information

Practice address
17350 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32413-6039
(850) 230-3364
(850) 233-9434
Mailing address
17350 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32413-6039
(850) 230-3364
(850) 233-9434

Taxonomy

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

Other

Enumeration date
12/04/2009
Last updated
12/04/2009
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