COUNTRYSIDE MALL DENTAL PA

CLEARWATER, FL
NPI1568023067
Entity TypeOrganization
Authorized ContactROSTISLAV KRASNOV
Owner
727-669-1600
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2019-06-25
Last Update Date2019-06-25
Business Address
COUNTRYSIDE MALL DENTAL PA
27001 US HIGHWAY 19 N STE 1031B
CLEARWATER, FL 33761-3407
Phone number: 727-669-1600
Mailing Address
COUNTRYSIDE MALL DENTAL PA
27001 US HIGHWAY 19 N STE 1031B
CLEARWATER, FL 33761-3407
Phone number: 727-669-1600
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