| Plaza Downtown Dental, P.a. | |
|
121 S Orange Ave Suite 1170n Orlando FL 32801-3221 | |
| (407) 733-0066 | |
| Not Available |
| Full Name | Plaza Downtown Dental, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 121 S Orange Ave, Orlando, Florida |
| Authorized Official Name and Position | Kenneth E Pyle (OWNER) |
| Authorized Official Contact | 4077330066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Downtown Dental, P.a. 121 S Orange Ave Suite 1170n Orlando FL 32801-3221 Ph: (407) 733-0066 | Plaza Downtown Dental, P.a. 121 S Orange Ave Suite 1170n Orlando FL 32801-3221 Ph: (407) 733-0066 |
| NPI Number | 1831385145 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 09/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831385145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | FL6106 (Florida) | Primary |
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