Fern Park Dental Corp | |
130 Oxford Rd Fern Park FL 32730-2115 | |
(407) 831-1819 | |
Not Available |
Full Name | Fern Park Dental Corp |
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Speciality | Dentist - General Practice |
Location | 130 Oxford Rd, Fern Park, Florida |
Authorized Official Name and Position | Rafael Nadal (PRESIDENT) |
Authorized Official Contact | 4073254844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fern Park Dental Corp 130 Oxford Rd Fern Park FL 32730-2115 Ph: (407) 831-1819 | Fern Park Dental Corp 130 Oxford Rd Fern Park FL 32730-2115 Ph: (407) 831-1819 |
NPI Number | 1932865474 |
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Provider Enumeration Date | 11/09/2021 |
Last Update Date | 11/09/2021 |
Identifier | Type | State | Issuer |
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1932865474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |