| Pediatric Dentistry At Lake Nona | |
|
9161 Narcoossee Rd 101b Orlando FL 32827-5764 | |
| (407) 737-7767 | |
| Not Available |
| Full Name | Pediatric Dentistry At Lake Nona |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9161 Narcoossee Rd, Orlando, Florida |
| Authorized Official Name and Position | Olubisi Olutosin Aina (CO-OWNER) |
| Authorized Official Contact | 4077377767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry At Lake Nona 9161 Narcoossee Rd 101b Orlando FL 32827-5764 Ph: (407) 737-7767 | Pediatric Dentistry At Lake Nona 9161 Narcoossee Rd 101b Orlando FL 32827-5764 Ph: (407) 737-7767 |
| NPI Number | 1427389030 |
|---|---|
| Provider Enumeration Date | 01/21/2010 |
| Last Update Date | 01/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427389030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 17111 (Florida) | Primary |
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