| Sand Dollar Dental, Inc | |
|
300 Hollywood Blvd Se Fort Walton Beach FL 32548-5727 | |
| (850) 712-2307 | |
| Not Available |
| Full Name | Sand Dollar Dental, Inc |
|---|---|
| Speciality | Dentist |
| Location | 300 Hollywood Blvd Se, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Carl S Graves (OWNER) |
| Authorized Official Contact | 8507122307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sand Dollar Dental, Inc 2631 Hidden Creek Dr Navarre FL 32566-6704 Ph: () - | Sand Dollar Dental, Inc 300 Hollywood Blvd Se Fort Walton Beach FL 32548-5727 Ph: (850) 712-2307 |
| NPI Number | 1023543287 |
|---|---|
| Provider Enumeration Date | 04/25/2017 |
| Last Update Date | 04/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023543287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN21942 (Florida) | Primary |
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