| Mid-florida Endodontics-mt Dora, P.a. | |
|
18660 Us Highway 441 Ste 104 Mount Dora FL 32757-6731 | |
| (407) 788-8880 | |
| Not Available |
| Full Name | Mid-florida Endodontics-mt Dora, P.a. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 18660 Us Highway 441 Ste 104, Mount Dora, Florida |
| Authorized Official Name and Position | Alec David Du Lac (OFFICE ADMIN) |
| Authorized Official Contact | 4077888880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-florida Endodontics-mt Dora, P.a. 2855 W State Road 434 Ste 1021 Longwood FL 32779-4480 Ph: (407) 788-8880 | Mid-florida Endodontics-mt Dora, P.a. 18660 Us Highway 441 Ste 104 Mount Dora FL 32757-6731 Ph: (407) 788-8880 |
| NPI Number | 1114750890 |
|---|---|
| Provider Enumeration Date | 08/20/2024 |
| Last Update Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114750890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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