Organization
DOCS DENTAL PR, PC
Active
Parent organization
DOCS DENTAL PR, PC
Other names
DOCS Ft Buchanan
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOCS DENTAL PR, PC
Authorized official
AMANDA A CLARK (DIRECTOR OF CREDENTIAING)
(813) 451-4503
Entity
Organization
Contact information
Practice address
606 BUILDING DEPORT RD, FT.BUCHANAN, PR 00934
(813) 451-4503
Mailing address
6097 EASTON RD, PIPERSVILLE, PA 18947-1810
(813) 451-4503
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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