| Excellent Dental Pa | |
|
1507 N John Young Pkwy Ste B Kissimmee FL 34741-3214 | |
| (949) 305-2253 | |
| Not Available |
| Full Name | Excellent Dental Pa |
|---|---|
| Speciality | Dentist |
| Location | 1507 N John Young Pkwy Ste B, Kissimmee, Florida |
| Authorized Official Name and Position | Jared Woolf (PRESIDENT) |
| Authorized Official Contact | 9493052253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellent Dental Pa 85 Argonaut Ste 220 Aliso Viejo CA 92656-4105 Ph: (949) 305-2253 | Excellent Dental Pa 1507 N John Young Pkwy Ste B Kissimmee FL 34741-3214 Ph: (949) 305-2253 |
| NPI Number | 1104576487 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 03/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104576487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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