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Organization

COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.

Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Other names
Nine Eagles Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization

Contact information

Practice address
13805 NINE EAGLES DR, TAMPA, FL 33626-3002
(813) 365-3464
Mailing address
13805 NINE EAGLES DR, TAMPA, FL 33626-3002
(813) 475-3599
(813) 616-6899

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
06/04/2019
Last updated
08/19/2019
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