| Ignacio Alberto Baez Dmd Pa | |
|
300 Gatlin Ave Orlando FL 32806-6951 | |
| (407) 310-6627 | |
| Not Available |
| Full Name | Ignacio Alberto Baez Dmd Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 300 Gatlin Ave, Orlando, Florida |
| Authorized Official Name and Position | Ignacio Alberto Baez (OWNER) |
| Authorized Official Contact | 4073106627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ignacio Alberto Baez Dmd Pa 300 Gatlin Ave Orlando FL 32806-6951 Ph: (407) 310-6627 | Ignacio Alberto Baez Dmd Pa 300 Gatlin Ave Orlando FL 32806-6951 Ph: (407) 310-6627 |
| NPI Number | 1306290523 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 04/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306290523 | NPI | - | NPPES |
| 002854600 | Medicaid | FL | |
| 075096496 | Other | FL | MED WAIVER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN0007199 (Florida) | Primary |
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