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2295 S Hiawassee Rd Ste 216 Orlando FL 32835-8747 | |
| (407) 578-3734 | |
| (407) 578-6394 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2295 S Hiawassee Rd Ste 216, Orlando, Florida |
| Authorized Official Name and Position | Susan Marie Heap (OFFICE MANAGER) |
| Authorized Official Contact | 4075783734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2295 S. Hiawassee Rd. Ste. 216 Orlando FL 32835 Ph: (407) 578-3734 | 2295 S Hiawassee Rd Ste 216 Orlando FL 32835-8747 Ph: (407) 578-3734 |
| NPI Number | 1780085936 |
|---|---|
| Provider Enumeration Date | 09/08/2014 |
| Last Update Date | 09/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780085936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Florida) | Primary |
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