| Orlando Lifestyle Dentistry | |
|
6000 Turkey Lake Rd #109 Orlando FL 32819-4200 | |
| (407) 547-6453 | |
| Not Available |
| Full Name | Orlando Lifestyle Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6000 Turkey Lake Rd, Orlando, Florida |
| Authorized Official Name and Position | Michael Gagaoudakis (PRESIDENT) |
| Authorized Official Contact | 9548300030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Lifestyle Dentistry 6000 Turkey Lake Rd #109 Orlando FL 32819-4200 Ph: (407) 547-6453 | Orlando Lifestyle Dentistry 6000 Turkey Lake Rd #109 Orlando FL 32819-4200 Ph: (407) 547-6453 |
| NPI Number | 1821520693 |
|---|---|
| Provider Enumeration Date | 03/31/2017 |
| Last Update Date | 03/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821520693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN17757 (Florida) | Primary |
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