| Colonial Drive Preventative & Comprehensive Dentistry | |
|
1110 Blackwood Ave Ocoee FL 34761-4546 | |
| (407) 295-6993 | |
| (407) 295-6993 |
| Full Name | Colonial Drive Preventative & Comprehensive Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1110 Blackwood Ave, Ocoee, Florida |
| Authorized Official Name and Position | Amy Kroeger (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colonial Drive Preventative & Comprehensive Dentistry 1110 Blackwood Ave Ocoee FL 34761-4546 Ph: (407) 295-6993 | Colonial Drive Preventative & Comprehensive Dentistry 1110 Blackwood Ave Ocoee FL 34761-4546 Ph: (407) 295-6993 |
| NPI Number | 1265644934 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265644934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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