NICEVILLE DENTAL LABORATORY
Dentist at Bailey Dr, Niceville, FL

License number
Florida 11055
Issued Date
May 17, 2005
Effective Date
Feb 29, 2016
Expiration Date
Feb 28, 2018
Category
Health Care
Type
Dental Laboratory
Address
Address
113 Bailey Dr SUITE 2, Niceville, FL 32578
Phone
(850) 678-1808
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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NICEVILLE DENTAL LABORATORY LLC

113 Bailey Dr SUITE 2, Niceville, FL 32578

Registration:
Oct 6, 2005
State ID:
L05000098609
Business type:
Florida Limited Liability Company
Managers:
Dennis S Glenn (Managing Member), 113 Bailey Dr SUITE 2, Niceville, FL 32578 (Physical),Deborah S Locklear (Manager), 113 Bailey Dr SUITE 2, Niceville, FL 32578 (Physical)
Agent:
Cowen, Eddie,1150 Airport Rd, Destin, FL 32541 (Physical)
EIN:
20-3584983
Categories:
Dental Laboratories

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