| Green Bench Dental, Llc | |
|
1015 58th St N Saint Petersburg FL 33710-6326 | |
| (727) 381-2809 | |
| Not Available |
| Full Name | Green Bench Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1015 58th St N, Saint Petersburg, Florida |
| Authorized Official Name and Position | Lauren Caroline Krauser (OWNER/ MGR) |
| Authorized Official Contact | 7273812809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Bench Dental, Llc 1015 58th St N Saint Petersburg FL 33710-6326 Ph: (727) 381-2809 | Green Bench Dental, Llc 1015 58th St N Saint Petersburg FL 33710-6326 Ph: (727) 381-2809 |
| NPI Number | 1962097915 |
|---|---|
| Provider Enumeration Date | 03/02/2021 |
| Last Update Date | 03/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962097915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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