Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Other names
North Port Oral Surgery & Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Authorized official
CASSANDRA PETERSEN (CREDENTIALING TEAM LEAD)
(217) 540-8972
Entity
Organization
Contact information
Practice address
2787 SYCAMORE ST STE 106, NORTH PORT, FL 34289-9513
(941) 423-1750
Mailing address
2787 SYCAMORE ST STE 106, NORTH PORT, FL 34289-9513
(941) 423-1750
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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