Green Bench Dental, Llc | |
1015 58th St N Saint Petersburg FL 33710-6326 | |
(727) 381-2809 | |
Not Available |
Full Name | Green Bench Dental, Llc |
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Speciality | Clinic/center - Dental |
Location | 1015 58th St N, Saint Petersburg, Florida |
Authorized Official Name and Position | Lauren Caroline Krauser (OWNER/ MGR) |
Authorized Official Contact | 7273812809 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Green Bench Dental, Llc 1015 58th St N Saint Petersburg FL 33710-6326 Ph: (727) 381-2809 | Green Bench Dental, Llc 1015 58th St N Saint Petersburg FL 33710-6326 Ph: (727) 381-2809 |
NPI Number | 1962097915 |
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Provider Enumeration Date | 03/02/2021 |
Last Update Date | 03/02/2021 |
Identifier | Type | State | Issuer |
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1962097915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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