Provider First Line Business Practice Location Address:
4052 BALD CYPRESS WAY BIN A14
Provider Second Line Business Practice Location Address:
DENTAL PUBLIC HEALTH DEPT
Provider Business Practice Location Address City Name:
TALLAHASSEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32399-1724
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-245-4444
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/19/2012