Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFE
Other names
Tamiami Trail Dental Care, Banyan Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFE
Authorized official
CASSANDRA PETERSEN (CREDENTIALING TEAM LEAD)
(217) 540-8972
Entity
Organization
Contact information
Practice address
1250 TAMIAMI TRL N, S107, NAPLES, FL 34102-5248
(239) 263-4445
(239) 263-1558
Mailing address
1250 TAMIAMI TRL N, S107, NAPLES, FL 34102-5248
(239) 263-4445
(239) 263-1558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
FL8320/FL9455
—
Other
Enumeration date
09/24/2009
Last updated
08/04/2023
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