| Sorrento Dental Care, Ii, Llc | |
|
2350 S Highway 29 Cantonment FL 32533-8508 | |
| (850) 968-2106 | |
| (850) 968-6342 |
| Full Name | Sorrento Dental Care, Ii, Llc |
|---|---|
| Speciality | Dentist |
| Location | 2350 S Highway 29, Cantonment, Florida |
| Authorized Official Name and Position | Christopher Martin Campus (OWNER/ PRESIDENT) |
| Authorized Official Contact | 8509682106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sorrento Dental Care, Ii, Llc 2350 S Highway 29 Cantonment FL 32533-8508 Ph: (850) 968-2106 | Sorrento Dental Care, Ii, Llc 2350 S Highway 29 Cantonment FL 32533-8508 Ph: (850) 968-2106 |
| NPI Number | 1578941878 |
|---|---|
| Provider Enumeration Date | 05/07/2015 |
| Last Update Date | 05/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578941878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN18259 (Florida) | Primary |
Professional Dental Alliance Of Fl - Oon, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2350 S Highway 29, Cantonment, FL 32533 Phone: 850-968-2106 |