| Distinctive Dentistry Of Sanford | |
|
200 W Lake Mary Blvd Sanford FL 32773-5925 | |
| (407) 330-1700 | |
| Not Available |
| Full Name | Distinctive Dentistry Of Sanford |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 W Lake Mary Blvd, Sanford, Florida |
| Authorized Official Name and Position | Peter Weisbruch (OWNER) |
| Authorized Official Contact | 4073301700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Distinctive Dentistry Of Sanford 200 W Lake Mary Blvd Sanford FL 32773-5925 Ph: (407) 330-1700 | Distinctive Dentistry Of Sanford 200 W Lake Mary Blvd Sanford FL 32773-5925 Ph: (407) 330-1700 |
| NPI Number | 1386795854 |
|---|---|
| Provider Enumeration Date | 01/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386795854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9352 (Florida) | Primary |
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