Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Other names
Hidden Creek Premier Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
300 ALT 19 STE B, PALM HARBOR, FL 34683-5356
(727) 784-1481
Mailing address
300 ALT 19 STE B, PALM HARBOR, FL 34683-5356
(727) 784-1481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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