Affordable Dental Care | |
2781 W Old Highway 441 #24a Mount Dora FL 32757 | |
(352) 385-1971 | |
(352) 729-2239 |
Full Name | Affordable Dental Care |
---|---|
Speciality | Dentist |
Location | 2781 W Old Highway 441, Mount Dora, Florida |
Authorized Official Name and Position | Sook Ja Kim (OWNER) |
Authorized Official Contact | 3523851971 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Affordable Dental Care 2781 W Old Highway 441 #24a Mount Dora FL 32757 Ph: (352) 385-1971 | Affordable Dental Care 2781 W Old Highway 441 #24a Mount Dora FL 32757 Ph: (352) 385-1971 |
NPI Number | 1033372958 |
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Provider Enumeration Date | 07/10/2008 |
Last Update Date | 02/22/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033372958 | NPI | - | NPPES |
002879200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 14970 (Florida) | Primary |
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