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9717 Eagle Creek Center Blvd Ste 102 Orlando FL 32832-6346 | |
| (407) 205-9544 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9717 Eagle Creek Center Blvd Ste 102, Orlando, Florida |
| Authorized Official Name and Position | Nadya Aldochine (OWNER) |
| Authorized Official Contact | 4072059544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9717 Eagle Creek Center Blvd Ste 102 Orlando FL 32832-6346 Ph: (407) 205-9544 | 9717 Eagle Creek Center Blvd Ste 102 Orlando FL 32832-6346 Ph: (407) 205-9544 |
| NPI Number | 1588187017 |
|---|---|
| Provider Enumeration Date | 07/17/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588187017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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