| Chrysalis Cosmetic & Restorative Dentistry, Llc | |
|
2252 Gunn Highway Odessa FL 33556 | |
| (813) 343-0713 | |
| Not Available |
| Full Name | Chrysalis Cosmetic & Restorative Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2252 Gunn Highway, Odessa, Florida |
| Authorized Official Name and Position | Carolyn Norton (OWNER DENTIST) |
| Authorized Official Contact | 8133430713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Cosmetic & Restorative Dentistry, Llc 2252 Gunn Highway Odessa FL 33556 Ph: (813) 343-0713 | Chrysalis Cosmetic & Restorative Dentistry, Llc 2252 Gunn Highway Odessa FL 33556 Ph: (813) 343-0713 |
| NPI Number | 1134969017 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 06/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134969017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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