Organization
CWD DENTAL GROUP
Active
Other names
CWD Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE KAYE HOLLIFIELD (BUSINESS MANAGER)
(850) 491-1920
Entity
Organization
Contact information
Practice address
3411 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4425
(850) 895-3411
Mailing address
3411 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4425
(850) 895-3411
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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