COUNTRYSIDE MALL DENTAL PA is a general practice dentist in Clearwater, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. COUNTRYSIDE MALL DENTAL PA NPI is 1568023067. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
27001 US HIGHWAY 19 N STE 1031B
CLEARWATER, FL
ZIP 33761-407
Phone: (727) 669-1600
The provider's authorized official is Rostislav Krasnov .
The authorized official title is Owner and has the following contact phone number (727) 669-1600.
The enumeration date for this NPI number is 6/25/2019 and was last updated on 6/25/2019.