Edwin John Szczepanik | |
7758 Wallace Rd Ste 3 Orlando FL 32819-7217 | |
(407) 352-6888 | |
(407) 352-0560 |
Full Name | Edwin John Szczepanik |
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Speciality | Dentist |
Location | 7758 Wallace Rd Ste 3, Orlando, Florida |
Authorized Official Name and Position | Edwin John Szczepanik (OWNER) |
Authorized Official Contact | 4073526888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Edwin John Szczepanik 7758 Wallace Rd Ste 3 Orlando FL 32819-7217 Ph: (407) 352-6888 | Edwin John Szczepanik 7758 Wallace Rd Ste 3 Orlando FL 32819-7217 Ph: (407) 352-6888 |
NPI Number | 1194187005 |
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Provider Enumeration Date | 03/22/2016 |
Last Update Date | 03/22/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194187005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 8437 (Florida) | Primary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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