Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Other names
Reedy Branch Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Authorized official
KIM WILSON (CRED SUPERVISOR)
(217) 540-5170
Entity
Organization
Contact information
Practice address
10920 BAYMEADOWS RD STE 5, JACKSONVILLE, FL 32256-4571
(904) 363-3559
Mailing address
10920 BAYMEADOWS RD STE 5, JACKSONVILLE, FL 32256-4571
(904) 363-3559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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