| Dr Gustavo De Oliveira Dmd, P.a. | |
|
112 E Lucerne Cir Orlando FL 32801-4401 | |
| (407) 425-4901 | |
| Not Available |
| Full Name | Dr Gustavo De Oliveira Dmd, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 112 E Lucerne Cir, Orlando, Florida |
| Authorized Official Name and Position | Gustavo De Oliveira (OWNER) |
| Authorized Official Contact | 4074254901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gustavo De Oliveira Dmd, P.a. 1407 Belmont Dr Orlando FL 32806-2402 Ph: (407) 627-9111 | Dr Gustavo De Oliveira Dmd, P.a. 112 E Lucerne Cir Orlando FL 32801-4401 Ph: (407) 425-4901 |
| NPI Number | 1215515085 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215515085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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