| Crestview Smiles, Pa | |
|
5170 S Ferdon Blvd Crestview FL 32536-9258 | |
| (850) 897-4488 | |
| Not Available |
| Full Name | Crestview Smiles, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5170 S Ferdon Blvd, Crestview, Florida |
| Authorized Official Name and Position | Lovelyn Silva (OPERATIONS MANAGER) |
| Authorized Official Contact | 8506996111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crestview Smiles, Pa 4400 E Highway 20 Ste 101 Niceville FL 32578-9735 Ph: (850) 897-4488 | Crestview Smiles, Pa 5170 S Ferdon Blvd Crestview FL 32536-9258 Ph: (850) 897-4488 |
| NPI Number | 1386274777 |
|---|---|
| Provider Enumeration Date | 01/24/2020 |
| Last Update Date | 01/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386274777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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