Econ Dental Pllc | |
3823 N Econlockhatchee Trl Unit D-4 Orlando FL 32817-1640 | |
(321) 972-8312 | |
Not Available |
Full Name | Econ Dental Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 3823 N Econlockhatchee Trl Unit D-4, Orlando, Florida |
Authorized Official Name and Position | Luis Carmelo Gaud (PRESIDENT) |
Authorized Official Contact | 3219728312 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Econ Dental Pllc 2529 Black Lake Blvd Winter Garden FL 34787-4756 Ph: (321) 972-8312 | Econ Dental Pllc 3823 N Econlockhatchee Trl Unit D-4 Orlando FL 32817-1640 Ph: (321) 972-8312 |
NPI Number | 1457593014 |
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Provider Enumeration Date | 03/29/2009 |
Last Update Date | 03/29/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457593014 | NPI | - | NPPES |
1013926377 | Other | PR | NPI DR. OMAYRA TORRES |
1386845725 | Other | PR | NPI DR. LUIS C. GAUD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DN17231 (Florida) | Primary |
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