Cdpg, P.l.

NPI #1316608052 in Williston, Florida

Provider Information

NPI Number: 1316608052
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 5, 2022
Last Updated: Jan 5, 2022

Practice Location

Address: 510 SW 5TH TER
City: Williston
State: Florida
ZIP Code: 32696-2548
Phone: (352) 528-6401

Authorized Official

Name: CELIA HAYES
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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