| Jp Cosmetic Dentistry, Inc. | |
|
1201 Winter Garden Vineland Rd Ste 10 Winter Garden FL 34787-4380 | |
| (407) 295-0444 | |
| Not Available |
| Full Name | Jp Cosmetic Dentistry, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1201 Winter Garden Vineland Rd Ste 10, Winter Garden, Florida |
| Authorized Official Name and Position | Nicouly Pierre Jean-philippe (PA/OWNER) |
| Authorized Official Contact | 4072950444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jp Cosmetic Dentistry, Inc. 1201 Winter Garden Vineland Rd Ste 10 Winter Garden FL 34787-4380 Ph: (407) 295-0444 | Jp Cosmetic Dentistry, Inc. 1201 Winter Garden Vineland Rd Ste 10 Winter Garden FL 34787-4380 Ph: (407) 295-0444 |
| NPI Number | 1275873580 |
|---|---|
| Provider Enumeration Date | 02/22/2013 |
| Last Update Date | 02/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275873580 | NPI | - | NPPES |
| 006593500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 16098 (Florida) | Primary |
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