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907 Outer Rd Orlando FL 32814-6653 | |
| (407) 898-5437 | |
| (407) 228-9552 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 907 Outer Rd, Orlando, Florida |
| Authorized Official Name and Position | Mubashir A Chaudhry (MANAGER) |
| Authorized Official Contact | 4078985437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
530 Spring Club Dr Altamonte Springs FL 32714-5911 Ph: (407) 758-8883 | 907 Outer Rd Orlando FL 32814-6653 Ph: (407) 898-5437 |
| NPI Number | 1982785747 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 04/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982785747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN13783 (Florida) | Primary |
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