PHILLIP M. DRLICKA, D.D.S., PA
Dentist at New Warrington Rd, Pensacola, FL

License number
Florida DN12681
Category
Ambulatory Health
Type
Dental
Owner
Name: DR. PHILLIP MARTINE DRLICKA D.D.S.
Title: PRESIDENT
Phone: (850) 455-1323
Address
Address
901 N New Warrington Rd, Pensacola, FL 32506
National Provider ID: 1538292081
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHILLIP M. DRLICKA, D.D.S., PA

901 N New Warrington Rd, Pensacola, FL 32506

Status:
Inactive
Industry:
Dentist's Office, Dentists, Oral Surgeons
Doing business as:
Phillip M. Drlicka, DDS PA<br>Phillip M Drlicka DDS
Inactive reason:
Name Change Amendment
Registration:
Sep 30, 1996
Inactive since:
May 4, 2005
Phone:
(850) 455-1323 (Phone), (850) 453-2307 (Fax)
Description:
There is 1 doctor at this site. Surgery is not performed at this site.
State ID:
P96000081687
Business type:
Florida Profit Corporation
Business Assistants:
Phillip Md.d.s. Drlicka (Partner, Director), 3749 Molaree Dr, Pensacola, FL 32503 (Physical),Rita Catches (Business Assistant)
Agent:
Phillip Drlicka,901 N New Warrington Rd, Pensacola, FL 32506 (Physical)
EIN:
59-3418340
Categories:
Dentists

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