| Lee Vista Dental | |
|
8624 Lee Vista Blvd Orlando FL 32829-8383 | |
| (407) 384-8099 | |
| (407) 384-8735 |
| Full Name | Lee Vista Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8624 Lee Vista Blvd, Orlando, Florida |
| Authorized Official Name and Position | Pam Hardiek (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Vista Dental 8624 Lee Vista Blvd Orlando FL 32829-8383 Ph: (407) 384-8099 | Lee Vista Dental 8624 Lee Vista Blvd Orlando FL 32829-8383 Ph: (407) 384-8099 |
| NPI Number | 1003107889 |
|---|---|
| Provider Enumeration Date | 04/27/2011 |
| Last Update Date | 04/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003107889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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