| Fortune Dental | |
|
2324 Fortune Rd Kissimmee FL 34744-3993 | |
| (407) 348-2002 | |
| (407) 348-2009 |
| Full Name | Fortune Dental |
|---|---|
| Speciality | Dentist |
| Location | 2324 Fortune Rd, Kissimmee, Florida |
| Authorized Official Name and Position | Lina Segura (OFFICE MANAGER) |
| Authorized Official Contact | 4073482002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortune Dental 2324 Fortune Rd Kissimmee FL 34744-3993 Ph: (407) 348-2002 | Fortune Dental 2324 Fortune Rd Kissimmee FL 34744-3993 Ph: (407) 348-2002 |
| NPI Number | 1740568187 |
|---|---|
| Provider Enumeration Date | 08/03/2011 |
| Last Update Date | 09/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740568187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN16387 (Florida) | Primary |
| 1223G0001X | Dentist - General Practice | DN16586 (Florida) | Secondary |
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