Kidz Choice Pediatric Dentistry Of Central Florida | |
508 N Mills Ave Suite B Orlando FL 32803-5353 | |
(407) 422-2617 | |
(407) 841-6843 |
Full Name | Kidz Choice Pediatric Dentistry Of Central Florida |
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Speciality | Clinic/center - Dental |
Location | 508 N Mills Ave, Orlando, Florida |
Authorized Official Name and Position | Jeresia Choice (OWNER) |
Authorized Official Contact | 4074222617 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kidz Choice Pediatric Dentistry Of Central Florida 508 N Mills Ave Suite B Orlando FL 32803-5353 Ph: () - | Kidz Choice Pediatric Dentistry Of Central Florida 508 N Mills Ave Suite B Orlando FL 32803-5353 Ph: (407) 422-2617 |
NPI Number | 1194157222 |
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Provider Enumeration Date | 07/31/2013 |
Last Update Date | 07/31/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194157222 | NPI | - | NPPES |
008810400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DN18945 (Florida) | Primary |
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