Comfortable Care Dental Health Professionals, P.A.
Dentist, General Practice in Lutz, FL. Organization (NPI-2).
NPI number1780243659
StatusActive
Last updated in NPPESJun 13, 2019
Details
- NPI
- 1780243659
- Entity type
- Organization (NPI-2)
- Legal business name
- Comfortable Care Dental Health Professionals, P.A.
- Organization subpart
- Yes
- Enumeration date
- Jun 13, 2019
- Last updated
- Jun 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Lake Park Dental (Doing Business As)
Practice location
19151 N Dale Mabry HwyLutz, FL 33548-4983
Phone 813-960-9500
Mailing address
19151 N Dale Mabry HwyLutz, FL 33548-4983
Authorized official
Tabatha Lemke
Credentialing
2175406078
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