| Grace Dental, P.a. | |
|
5979 Vineland Rd Suite 205 Orlando FL 32819-7800 | |
| (407) 351-3213 | |
| Not Available |
| Full Name | Grace Dental, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5979 Vineland Rd, Orlando, Florida |
| Authorized Official Name and Position | Gabriel Sangalang (PRESIDENT) |
| Authorized Official Contact | 3128413414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Dental, P.a. 5979 Vineland Rd Suite 205 Orlando FL 32819-7800 Ph: (407) 351-3213 | Grace Dental, P.a. 5979 Vineland Rd Suite 205 Orlando FL 32819-7800 Ph: (407) 351-3213 |
| NPI Number | 1699110783 |
|---|---|
| Provider Enumeration Date | 05/03/2013 |
| Last Update Date | 05/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699110783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN19152 (Florida) | Primary |
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