Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS
Other names
Tomoka Famly Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS
Authorized official
PAM HARDIEK (INSURANCE / CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
1345 W GRANADA BLVD UNIT 9, ORMOND BEACH, FL 32174-8191
(386) 672-8175
(386) 672-8179
Mailing address
1345 W GRANADA BLVD UNIT 9, ORMOND BEACH, FL 32174-8191
(386) 672-8175
(386) 672-8179
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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