Shalimar Family Dentistry

NPI #1932111564 in Shalimar, Florida

Provider Information

NPI Number: 1932111564
Entity Type: Organization
Organization Name: Shalimar Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 12, 2006
Last Updated: Dec 8, 2014

Practice Location

Address: 1 ELEVENTH AVENUE
Address 2: D-3
City: Shalimar
State: Florida
ZIP Code: 32579
Phone: (850) 651-6700

Authorized Official

Name: LISA FLETCHER
Title: OWNER
Phone: (850) 651-6700

Specialties & Taxonomy Codes

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

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