Organization
COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA
Active
Parent organization
COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA
Other names
Pine Lake Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA
Authorized official
JULI RENEE MIETZNER (CREDENTIALING MANAGER)
(217) 540-2100
Entity
Organization
Contact information
Practice address
685 CROSSWATER PKWY STE A, PONTE VEDRA, FL 32081-0769
(904) 871-3008
(904) 871-3009
Mailing address
685 CROSSWATER PKWY STE A, PONTE VEDRA, FL 32081-0769
(904) 871-3008
(904) 871-3009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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