Panama City Beach Center for Cosmetic & Family Destistry
NPI #1275951717 in Panama City Beach, Florida
Provider Information
- NPI Number
- 1275951717
- Entity Type
- Organization
- Organization Name
- Panama City Beach Center for Cosmetic & Family Destistry
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 2, 2014
- Last Updated
- Apr 2, 2014
Practice Location
- Address
- 309 N RICHARD JACKSON BLVD
- State
- Florida
- ZIP Code
- 32407-3695
- Phone
- (850) 235-2299
Authorized Official
- Name
- DR. DENNIS W LICHORWIC, DMD
- Title
- OWNER/ PRESIDENT
- Phone
- (850) 654-8665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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