Comfortable Care Dental Health Professionals, PA
NPI #1205164183 in Jacksonville, Florida
Provider Information
- NPI Number
- 1205164183
- Entity Type
- Organization
- Organization Name
- Comfortable Care Dental Health Professionals, PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 3, 2009
- Last Updated
- Dec 3, 2009
Practice Location
- Address
- 13720 OLD SAINT AUGUSTINE RD STE 5
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32258-7415
- Phone
- (904) 292-1002
Authorized Official
- Name
- PAM HARDIEK
- Title
- INSURANCE/CREDENTIALING
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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