| Dr Afsoon Elmore Dds Plc | |
|
668 N Orlando Ave Suite1008 Maitland FL 32751-4473 | |
| (407) 629-6464 | |
| (407) 629-0031 |
| Full Name | Dr Afsoon Elmore Dds Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 668 N Orlando Ave, Maitland, Florida |
| Authorized Official Name and Position | Afsoon Elmore (OWNER) |
| Authorized Official Contact | 4076296464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Afsoon Elmore Dds Plc 668 N Orlando Ave Suite1008 Maitland FL 32751-4473 Ph: (407) 629-6464 | Dr Afsoon Elmore Dds Plc 668 N Orlando Ave Suite1008 Maitland FL 32751-4473 Ph: (407) 629-6464 |
| NPI Number | 1194115956 |
|---|---|
| Provider Enumeration Date | 02/02/2015 |
| Last Update Date | 02/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194115956 | NPI | - | NPPES |
| 075545100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN16958 (Florida) | Primary |
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