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6000 Turkey Lake Rd Ste 109 Orlando FL 32819-4205 | |
| (407) 248-0484 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6000 Turkey Lake Rd Ste 109, Orlando, Florida |
| Authorized Official Name and Position | Margarita M Rivera (PRESIDENT) |
| Authorized Official Contact | 4072480484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6000 Turkey Lake Rd Ste 109 Orlando FL 32819-4205 Ph: (407) 722-9878 | 6000 Turkey Lake Rd Ste 109 Orlando FL 32819-4205 Ph: (407) 248-0484 |
| NPI Number | 1528601309 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 10/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528601309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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