| Family And Cosmetic Dentistry At Vista Lakes | |
|
6415 South Chickasaw Trail Orlando FL 32829 | |
| (407) 382-2282 | |
| (407) 382-2858 |
| Full Name | Family And Cosmetic Dentistry At Vista Lakes |
|---|---|
| Speciality | Dentist |
| Location | 6415 South Chickasaw Trail, Orlando, Florida |
| Authorized Official Name and Position | Michael J Morra (MANAGING PARTNER) |
| Authorized Official Contact | 4073822282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Cosmetic Dentistry At Vista Lakes 6415 South Chickasaw Trail Orlando FL 32829 Ph: (407) 382-2282 | Family And Cosmetic Dentistry At Vista Lakes 6415 South Chickasaw Trail Orlando FL 32829 Ph: (407) 382-2282 |
| NPI Number | 1861403883 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861403883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN15714 (Florida) | Primary |
| 122300000X | Dentist | DN15633 (Florida) | Secondary |
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