| Mount Dora Smiles Pllc | |
|
19001 Us Highway 441 Mount Dora FL 32757-6708 | |
| (352) 549-9420 | |
| Not Available |
| Full Name | Mount Dora Smiles Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19001 Us Highway 441, Mount Dora, Florida |
| Authorized Official Name and Position | Jennifer Trang Van (CEO) |
| Authorized Official Contact | 9544838184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Dora Smiles Pllc 1581 Amaryllis Cir Orlando FL 32825-7432 Ph: (954) 483-8184 | Mount Dora Smiles Pllc 19001 Us Highway 441 Mount Dora FL 32757-6708 Ph: (352) 549-9420 |
| NPI Number | 1891571881 |
|---|---|
| Provider Enumeration Date | 09/05/2023 |
| Last Update Date | 09/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891571881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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