Kush Dental Llc | |
1012 State Road 436 Casselberry FL 32707-5722 | |
(407) 636-7602 | |
(407) 636-7604 |
Full Name | Kush Dental Llc |
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Speciality | Clinic/center - Dental |
Location | 1012 State Road 436, Casselberry, Florida |
Authorized Official Name and Position | Mark Figaro (DENTIST) |
Authorized Official Contact | 4076367602 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kush Dental Llc 1012 State Road 436 Casselberry FL 32707-5722 Ph: (407) 636-7602 | Kush Dental Llc 1012 State Road 436 Casselberry FL 32707-5722 Ph: (407) 636-7602 |
NPI Number | 1811388804 |
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Provider Enumeration Date | 02/11/2015 |
Last Update Date | 02/11/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811388804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 606214 (Florida) | Primary |
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