Cdpg, P.l.
NPI #1174284947 in Crystal River, Florida
Provider Information
- NPI Number
- 1174284947
- Entity Type
- Organization
- Organization Name
- Cdpg, P.l.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CDPG, P.L.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 4, 2022
- Last Updated
- Jan 4, 2022
Practice Location
- Address
- 6015 W NORDLING LOOP
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-8716
- Phone
- (352) 795-5935
Authorized Official
- Name
- CELIA HAYES
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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