Organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Active
Parent organization
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Other names
Mirada Market Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
30821 MIRADA BLVD, SAN ANTONIO, FL 33576-7305
(352) 668-9065
Mailing address
30821 MIRADA BLVD, SAN ANTONIO, FL 33576-7305
(352) 668-9065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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