| Aod Dental Clinic, Inc. | |
|
1609 E Vine St Kissimmee FL 34744-3733 | |
| (407) 944-1319 | |
| (407) 944-1438 |
| Full Name | Aod Dental Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1609 E Vine St, Kissimmee, Florida |
| Authorized Official Name and Position | Abel O. De Anna (PRESIDENT) |
| Authorized Official Contact | 3052221150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aod Dental Clinic, Inc. 2901 S Bayshore Dr Unit 4f Miami FL 33133-6016 Ph: (305) 222-1150 | Aod Dental Clinic, Inc. 1609 E Vine St Kissimmee FL 34744-3733 Ph: (407) 944-1319 |
| NPI Number | 1124441035 |
|---|---|
| Provider Enumeration Date | 01/28/2014 |
| Last Update Date | 01/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124441035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN7784 (Florida) | Primary |
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