| Orlando Dentist And Denture Lab Llc | |
|
4929 S Orange Ave Orlando FL 32806-6932 | |
| (407) 605-5624 | |
| (407) 289-4098 |
| Full Name | Orlando Dentist And Denture Lab Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4929 S Orange Ave, Orlando, Florida |
| Authorized Official Name and Position | Paul Szott (OWNER/DENTIST) |
| Authorized Official Contact | 4076055426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Dentist And Denture Lab Llc 4929 S Orange Ave Orlando FL 32806-6932 Ph: (407) 605-5624 | Orlando Dentist And Denture Lab Llc 4929 S Orange Ave Orlando FL 32806-6932 Ph: (407) 605-5624 |
| NPI Number | 1881143089 |
|---|---|
| Provider Enumeration Date | 09/28/2016 |
| Last Update Date | 09/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881143089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | BS5332957 (Florida) | Primary |
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