| Mount Dora Modern Dentistry | |
|
17365 Us Hwy 441 Eustis FL 32757 | |
| (352) 270-3015 | |
| Not Available |
| Full Name | Mount Dora Modern Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17365 Us Hwy 441, Eustis, Florida |
| Authorized Official Name and Position | Thien Le (OWNER) |
| Authorized Official Contact | 3522703015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Dora Modern Dentistry Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8500 | Mount Dora Modern Dentistry 17365 Us Hwy 441 Eustis FL 32757 Ph: (352) 270-3015 |
| NPI Number | 1659815306 |
|---|---|
| Provider Enumeration Date | 12/15/2016 |
| Last Update Date | 02/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659815306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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