| Lasting Smiles Of Kissimmee Llc | |
|
1135 W Columbia Ave Kissimmee FL 34741-3202 | |
| (407) 933-4343 | |
| Not Available |
| Full Name | Lasting Smiles Of Kissimmee Llc |
|---|---|
| Speciality | Dentist |
| Location | 1135 W Columbia Ave, Kissimmee, Florida |
| Authorized Official Name and Position | Dharam Tayal (MEMBER) |
| Authorized Official Contact | 7162395889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lasting Smiles Of Kissimmee Llc 1135 W Columbia Ave Kissimmee FL 34741-3202 Ph: (407) 933-4343 | Lasting Smiles Of Kissimmee Llc 1135 W Columbia Ave Kissimmee FL 34741-3202 Ph: (407) 933-4343 |
| NPI Number | 1598303588 |
|---|---|
| Provider Enumeration Date | 12/20/2019 |
| Last Update Date | 12/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598303588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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