Advanced Esthetic Dentistry, Pa | |
6001 Vineland Rd Ste 119 Orlando FL 32819-7829 | |
(407) 352-6001 | |
(407) 351-6001 |
Full Name | Advanced Esthetic Dentistry, Pa |
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Speciality | Clinic/center - Dental |
Location | 6001 Vineland Rd Ste 119, Orlando, Florida |
Authorized Official Name and Position | Ross Tanner Enfinger (OWNER/DENTIST) |
Authorized Official Contact | 4073526001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advanced Esthetic Dentistry, Pa 6001 Vineland Rd Ste 119 Orlando FL 32819-7829 Ph: (407) 352-6001 | Advanced Esthetic Dentistry, Pa 6001 Vineland Rd Ste 119 Orlando FL 32819-7829 Ph: (407) 352-6001 |
NPI Number | 1740782408 |
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Provider Enumeration Date | 03/08/2018 |
Last Update Date | 03/08/2018 |
Identifier | Type | State | Issuer |
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1740782408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DN16710 (Florida) | Primary |
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