A Health Park Dental Group

NPI #1205163557 in Naples, Florida

Provider Information

NPI Number: 1205163557
Entity Type: Organization
Organization Name: A Health Park Dental Group
Primary Specialty: Dentist
Enumeration Date: Nov 6, 2009
Last Updated: Nov 6, 2009

Practice Location

Address: 11121 HEALTH PARK BLVD
Address 2: STE 200
City: Naples
State: Florida
ZIP Code: 34110
Phone: (239) 566-9700

Authorized Official

Name: DR. JOHN S RANDOLPH
Title: DR.
Phone: (239) 566-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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