| Pediatric Dental Group Winter Park | |
|
5518 Lake Howell Rd Winter Park FL 32792-1036 | |
| (407) 737-7767 | |
| (407) 737-0769 |
| Full Name | Pediatric Dental Group Winter Park |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5518 Lake Howell Rd, Winter Park, Florida |
| Authorized Official Name and Position | Olubisi Aina (OWNER) |
| Authorized Official Contact | 4077377767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Group Winter Park 5518 Lake Howell Rd Winter Park FL 32792-1036 Ph: (407) 737-7767 | Pediatric Dental Group Winter Park 5518 Lake Howell Rd Winter Park FL 32792-1036 Ph: (407) 737-7767 |
| NPI Number | 1376946244 |
|---|---|
| Provider Enumeration Date | 10/06/2014 |
| Last Update Date | 10/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376946244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Florida) | Primary |
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