Longwood Family Dentistry | |
2127 W State Road 434 Longwood FL 32779-4983 | |
(407) 332-6060 | |
(407) 332-8190 |
Full Name | Longwood Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 2127 W State Road 434, Longwood, Florida |
Authorized Official Name and Position | All Credentialing (INS COOD) |
Authorized Official Contact | 2175402100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Longwood Family Dentistry 2127 W State Road 434 Longwood FL 32779-4983 Ph: (407) 332-6060 | Longwood Family Dentistry 2127 W State Road 434 Longwood FL 32779-4983 Ph: (407) 332-6060 |
NPI Number | 1851503577 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 10/19/2022 |
Identifier | Type | State | Issuer |
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1851503577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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