LIL DENTAL, P.A.
Dentist at Sorrento Rd, Pensacola, FL

License number
Florida DN18259
Category
Dentist
Type
Dentist
Owner
Name: DR. CHRISTOPHER MARTIN CAMPUS DMD
Title: PRESIDENT/ OWNER
Phone: (850) 492-7646
Address
Address
12385 Sorrento Rd, Pensacola, FL 32507
National Provider ID: 1114305414
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LIL DENTAL, PA

12950 Lillian Hwy, Pensacola, FL 32506

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Feb 26, 2009
Inactive since:
Jan 25, 2010
State ID:
P09000018279
Business type:
Florida Profit Corporation
S:
Christopher M Campus, 12950 Lillian Hwy, Pensacola, FL 32506 (Physical),Shelley Campus, 12950 Lillian Hwy, Pensacola, FL 32506 (Physical)
Agent:
Christopher Campus,12950 Lillian Hwy, Pensacola, FL 32506 (Physical)
FEI/EIN:
300538526

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