Oakland Pediatric Dentistry, Llc | |
15650 W Colonial Dr Ste 200 Winter Garden FL 34787-9727 | |
(352) 333-0070 | |
Not Available |
Full Name | Oakland Pediatric Dentistry, Llc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 15650 W Colonial Dr Ste 200, Winter Garden, Florida |
Authorized Official Name and Position | Walmir Baldocchi Da Costa (OWNER) |
Authorized Official Contact | 3523330070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oakland Pediatric Dentistry, Llc 273 Sagecrest Dr Ocoee FL 34761-4628 Ph: (352) 333-0070 | Oakland Pediatric Dentistry, Llc 15650 W Colonial Dr Ste 200 Winter Garden FL 34787-9727 Ph: (352) 333-0070 |
NPI Number | 1629751375 |
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Provider Enumeration Date | 08/09/2023 |
Last Update Date | 12/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629751375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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