Classic Dental At Maitland Llc | |
158 Lookout Pl Suite #101 Maitland FL 32751-4411 | |
(407) 682-7774 | |
(407) 628-5651 |
Full Name | Classic Dental At Maitland Llc |
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Speciality | Dentist |
Location | 158 Lookout Pl, Maitland, Florida |
Authorized Official Name and Position | Ceasar M. Garcia (PARTNER/PRESIDENT) |
Authorized Official Contact | 4073027774 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Classic Dental At Maitland Llc 158 Lookout Pl Suite #101 Maitland FL 32751-4411 Ph: (407) 682-7774 | Classic Dental At Maitland Llc 158 Lookout Pl Suite #101 Maitland FL 32751-4411 Ph: (407) 682-7774 |
NPI Number | 1871755124 |
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Provider Enumeration Date | 06/27/2008 |
Last Update Date | 06/27/2008 |
Identifier | Type | State | Issuer |
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1871755124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN11075 (Florida) | Primary |
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