Trae Pappas DDS P.a.

NPI #1336748946 in Crestview, Florida

Provider Information

NPI Number: 1336748946
Entity Type: Organization
Organization Name: Trae Pappas DDS P.a.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 23, 2020
Last Updated: Oct 23, 2020

Practice Location

Address: 5170 S FERDON BLVD
City: Crestview
State: Florida
ZIP Code: 32536-9258
Phone: (850) 689-2332

Authorized Official

Name: DR. TRAE HARBESON PAPPAS, DDS
Title: OWNER/PRESIDENT
Phone: (850) 685-8461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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