PANAMA CITY BEACH CENTER FOR COSMETIC & FAMILY DESTISTRY

PANAMA CITY BEACH, FL
NPI1275951717
Entity TypeOrganization
Authorized ContactDENNIS W LICHORWIC
Owner/ President
850-654-8665
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  0014608)
Additional Taxonomies122300000X Dentist
(Licence: FL  dn19333)
122300000X Dentist
(Licence: FL  dn19829)
Enumeration Date2014-04-02
Last Update Date2014-04-02
Business Address
PANAMA CITY BEACH CENTER FOR COSMETIC & FAMILY DESTISTRY
309 N RICHARD JACKSON BLVD
PANAMA CITY BEACH, FL 32407-3695
Phone number: 850-235-2299
Mailing Address
PANAMA CITY BEACH CENTER FOR COSMETIC & FAMILY DESTISTRY
4635 GULFSTARR DR
DESTIN, FL 32541-5780
Phone number: 850-654-8665