Emerald Coast Dental Spa
NPI #1548415144 in Panama City Beach, Florida
Provider Information
- NPI Number
- 1548415144
- Entity Type
- Organization
- Organization Name
- Emerald Coast Dental Spa
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 24, 2008
- Last Updated
- Jan 28, 2020
Practice Location
- Address
- 900 THOMAS DR
- State
- Florida
- ZIP Code
- 32408-7442
- Phone
- (850) 249-9311
Authorized Official
- Name
- DR. TARA M GRIFFIN, DMD PA
- Title
- PRESIDENT/ OWNER
- Phone
- (850) 249-9311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
| Dentist - General Practice — General Practice |
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