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250 N Alafaya Trl Ste 125 Orlando FL 32828-4315 | |
| (407) 658-4060 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 250 N Alafaya Trl, Orlando, Florida |
| Authorized Official Name and Position | Hector Leon (GENERAL MANAGER) |
| Authorized Official Contact | 4076584060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5143 Beach River Rd Windermere FL 34786-3133 Ph: (407) 461-4187 | 250 N Alafaya Trl Ste 125 Orlando FL 32828-4315 Ph: (407) 658-4060 |
| NPI Number | 1346692308 |
|---|---|
| Provider Enumeration Date | 07/01/2016 |
| Last Update Date | 07/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346692308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN21904 (Florida) | Primary |
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