Family Dentistry of St. Cloud, Pl
NPI #1669796264 in Saint Cloud, Florida
Provider Information
- NPI Number
- 1669796264
- Entity Type
- Organization
- Organization Name
- Family Dentistry of St. Cloud, Pl
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 25, 2010
- Last Updated
- Mar 25, 2010
Practice Location
- Address
- 1300 13TH ST
- Address 2
- SUITE B
- City
- Saint Cloud
- State
- Florida
- ZIP Code
- 34769-4317
- Phone
- (407) 892-3326
Authorized Official
- Name
- DR. MARK STEVEN COLBURN, D.D.S.
- Title
- MGRM
- Phone
- (407) 892-3326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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