| Poinciana Dental | |
|
4671 Old Pleasant Hill Rd Kissimmee FL 34759-3423 | |
| (407) 201-7910 | |
| (407) 201-7911 |
| Full Name | Poinciana Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 4671 Old Pleasant Hill Rd, Kissimmee, Florida |
| Authorized Official Name and Position | Alfredo Munoz (DENTIST) |
| Authorized Official Contact | 4072017910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Poinciana Dental 4671 Old Pleasant Hill Rd Kissimmee FL 34759-3423 Ph: (407) 201-7910 | Poinciana Dental 4671 Old Pleasant Hill Rd Kissimmee FL 34759-3423 Ph: (407) 201-7910 |
| NPI Number | 1922487750 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 05/26/2015 |
| Medicare PECOS PAC ID | 0042523185 |
|---|---|
| Medicare Enrollment ID | O20150720001130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922487750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Florida) | Primary |
| Provider Name | Alfredo Munoz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1578560645 PECOS PAC ID: 1951614098 Enrollment ID: I20150720001189 |
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