| Personal Care Family Dentistry Pa | |
|
348 Miracle Strip Pkwy Sw Ste 15a Fort Walton Beach FL 32548-5258 | |
| (850) 244-5005 | |
| (850) 244-4543 |
| Full Name | Personal Care Family Dentistry Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 348 Miracle Strip Pkwy Sw Ste 15a, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Care Family Dentistry Pa 348 Miracle Strip Pkwy Sw Ste 15a Fort Walton Beach FL 32548-5258 Ph: (850) 244-5005 | Personal Care Family Dentistry Pa 348 Miracle Strip Pkwy Sw Ste 15a Fort Walton Beach FL 32548-5258 Ph: (850) 244-5005 |
| NPI Number | 1881219582 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 06/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881219582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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