Organization
PALM HARBOR DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY BOCAS (OFFICE MANAGER)
(727) 249-0460
Entity
Organization
Contact information
Practice address
30685 US HIGHWAY 19 N, PALM HARBOR, FL 34684-4410
(727) 249-0460
Mailing address
30685 US HIGHWAY 19 N, PALM HARBOR, FL 34684-4410
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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