| Center For Integrative Oral Health Inc | |
|
7151 University Blvd Unit 110 Winter Park FL 32792-6724 | |
| (407) 664-6999 | |
| Not Available |
| Full Name | Center For Integrative Oral Health Inc |
|---|---|
| Speciality | Dentist |
| Location | 7151 University Blvd Unit 110, Winter Park, Florida |
| Authorized Official Name and Position | Jaisri R Thoppay (PRESIDENT) |
| Authorized Official Contact | 4076646999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Integrative Oral Health Inc 7151 University Blvd Unit 110 Winter Park FL 32792-6724 Ph: (407) 664-6999 | Center For Integrative Oral Health Inc 7151 University Blvd Unit 110 Winter Park FL 32792-6724 Ph: (407) 664-6999 |
| NPI Number | 1073160487 |
|---|---|
| Provider Enumeration Date | 08/20/2019 |
| Last Update Date | 01/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073160487 | NPI | - | NPPES |
| LY180 | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223X2210X | Dentist - Orofacial Pain | (* (Not Available)) | Secondary |
| 125Q00000X | Oral Medicinist | (* (Not Available)) | Secondary |
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