| Cosmetic And Restorative Dentistry Of Lake Mary | |
|
737 Stirling Center Pl Suite 1011 Lake Mary FL 32746-4856 | |
| (407) 805-8808 | |
| Not Available |
| Full Name | Cosmetic And Restorative Dentistry Of Lake Mary |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 737 Stirling Center Pl, Lake Mary, Florida |
| Authorized Official Name and Position | Alfredo M Gapuz (OWNER) |
| Authorized Official Contact | 4072515100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmetic And Restorative Dentistry Of Lake Mary 737 Stirling Center Pl Suite 1011 Lake Mary FL 32746-4856 Ph: (407) 805-8808 | Cosmetic And Restorative Dentistry Of Lake Mary 737 Stirling Center Pl Suite 1011 Lake Mary FL 32746-4856 Ph: (407) 805-8808 |
| NPI Number | 1649432881 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649432881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN13068 (Florida) | Primary |
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