Primera Dental | |
1045 Primera Blvd Lake Mary FL 32746-2178 | |
(407) 512-5700 | |
Not Available |
Full Name | Primera Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 1045 Primera Blvd, Lake Mary, Florida |
Authorized Official Name and Position | Amal Hamdi (OWNER) |
Authorized Official Contact | 4075125700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Primera Dental 1045 Primera Blvd Lake Mary FL 32746-2178 Ph: (407) 512-5700 | Primera Dental 1045 Primera Blvd Lake Mary FL 32746-2178 Ph: (407) 512-5700 |
NPI Number | 1366973018 |
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Provider Enumeration Date | 03/24/2017 |
Last Update Date | 03/24/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366973018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN18389 (Florida) | Primary |
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