Pediatric Dental Group, Llc | |
12601 Narcoossee Rd Unite 100a Orlando FL 32832 | |
(407) 737-7767 | |
(407) 737-0769 |
Full Name | Pediatric Dental Group, Llc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 12601 Narcoossee Rd, Orlando, Florida |
Authorized Official Name and Position | Olubisi Alna (CO-OWNER) |
Authorized Official Contact | 4077377767 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pediatric Dental Group, Llc 9161 Narcoossee Rd Ste 101b Orlando FL 32827 Ph: (407) 737-7767 | Pediatric Dental Group, Llc 12601 Narcoossee Rd Unite 100a Orlando FL 32832 Ph: (407) 737-7767 |
NPI Number | 1235697707 |
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Provider Enumeration Date | 03/04/2019 |
Last Update Date | 03/04/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235697707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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