Av Dental, Pa | |
2506 S Semoran Blvd Orlando FL 32822-2710 | |
(407) 273-4100 | |
(407) 273-4201 |
Full Name | Av Dental, Pa |
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Speciality | Dentist - General Practice |
Location | 2506 S Semoran Blvd, Orlando, Florida |
Authorized Official Name and Position | Myrna Rodriguez (PRESIDENT) |
Authorized Official Contact | 4072734100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Av Dental, Pa 2506 S Semoran Blvd Orlando FL 32822-2710 Ph: (407) 273-4100 | Av Dental, Pa 2506 S Semoran Blvd Orlando FL 32822-2710 Ph: (407) 273-4100 |
NPI Number | 1912077199 |
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Provider Enumeration Date | 11/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1912077199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | DN 12611 (Florida) | Primary |
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