Gd Fl Forest Park Pllc
NPI #1487356234 in Panama City, Florida
Provider Information
- NPI Number
- 1487356234
- Entity Type
- Organization
- Organization Name
- Gd Fl Forest Park Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 17, 2023
- Last Updated
- Mar 17, 2023
Practice Location
- Address
- 2620 JENKS AVE
- City
- Panama City
- State
- Florida
- ZIP Code
- 32405-4311
- Phone
- (850) 785-8586
Authorized Official
- Name
- CHAD HENDRICKS
- Title
- CREDENTIALING
- Phone
- (612) 859-0444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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