Senior Dental Care | |
16700 Se Pear St Blountstown FL 32424-2177 | |
(850) 398-4425 | |
Not Available |
Full Name | Senior Dental Care |
---|---|
Speciality | Dentist - General Practice |
Location | 16700 Se Pear St, Blountstown, Florida |
Authorized Official Name and Position | Cassi Layne (PRESIDENT) |
Authorized Official Contact | 8503984425 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Senior Dental Care Po Box 367 Blountstown FL 32424-0367 Ph: (850) 398-4425 | Senior Dental Care 16700 Se Pear St Blountstown FL 32424-2177 Ph: (850) 398-4425 |
NPI Number | 1457692618 |
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Provider Enumeration Date | 03/12/2013 |
Last Update Date | 03/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457692618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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