Hi-5 Children's Dentistry, Llc | |
1202 Cypress Glen Cir Kissimmee FL 34741-7563 | |
(407) 810-0450 | |
Not Available |
Full Name | Hi-5 Children's Dentistry, Llc |
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Speciality | Clinic/center - Dental |
Location | 1202 Cypress Glen Cir, Kissimmee, Florida |
Authorized Official Name and Position | Miguel Tabares (PRESIDENT) |
Authorized Official Contact | 4078100467 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hi-5 Children's Dentistry, Llc 11912 Yellow Fin Trl Orlando FL 32827-7138 Ph: (407) 810-0467 | Hi-5 Children's Dentistry, Llc 1202 Cypress Glen Cir Kissimmee FL 34741-7563 Ph: (407) 810-0450 |
NPI Number | 1609296276 |
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Provider Enumeration Date | 04/22/2014 |
Last Update Date | 04/22/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609296276 | NPI | - | NPPES |
21540 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DN19471 (Florida) | Primary |
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