Organization
FL SPECIALTY DENTAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE DASCH (DIRECTOR OF CREDENTIALING &PR)
(504) 638-0303
Entity
Organization
Contact information
Practice address
2808 ENTERPRISE RD STE 102, DEBARY, FL 32713-2753
(386) 668-7776
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(504) 638-0303
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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