| Dental Elements, Pa | |
|
701 E Oak St Ste B Kissimmee FL 34744-4575 | |
| (407) 847-8000 | |
| (407) 847-6773 |
| Full Name | Dental Elements, Pa |
|---|---|
| Speciality | Dentist |
| Location | 701 E Oak St Ste B, Kissimmee, Florida |
| Authorized Official Name and Position | Dara Randall (TREATMENT COORDINATOR) |
| Authorized Official Contact | 4078478000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Elements, Pa 701 E Oak St Ste B Kissimmee FL 34744-4575 Ph: (407) 847-8000 | Dental Elements, Pa 701 E Oak St Ste B Kissimmee FL 34744-4575 Ph: (407) 847-8000 |
| NPI Number | 1295181790 |
|---|---|
| Provider Enumeration Date | 05/13/2016 |
| Last Update Date | 05/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295181790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN20281 (Florida) | Primary |
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