Organization
FLORIDA DENTAL PROFESSIONALS, P.A.
Active
Parent organization
FLORIDA DENTAL PROFESSIONALS, P.A.
Other names
Complete Dental Care of Naples
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA DENTAL PROFESSIONALS, P.A.
Authorized official
CASSANDRA PETERSEN (CREDENTIALING TEAM LEAD)
(217) 540-8972
Entity
Organization
Contact information
Practice address
6360 PINE RIDGE RD STE 202, NAPLES, FL 34119-3907
(239) 354-5353
Mailing address
6360 PINE RIDGE RD STE 202, NAPLES, FL 34119-3907
(239) 354-5353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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