Green Bench Dental, LLC
NPI #1962097915 in Saint Petersburg, Florida
Provider Information
- NPI Number
- 1962097915
- Entity Type
- Organization
- Organization Name
- Green Bench Dental, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 2, 2021
- Last Updated
- Mar 2, 2021
Practice Location
- Address
- 1015 58TH ST N
- City
- Saint Petersburg
- State
- Florida
- ZIP Code
- 33710-6326
- Phone
- (727) 381-2809
Authorized Official
- Name
- DR. LAUREN CAROLINE KRAUSER, DMD
- Title
- OWNER/ MGR
- Phone
- (727) 381-2809
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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