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905 E Michigan St Orlando FL 32806-4702 | |
| (407) 843-4091 | |
| (407) 843-4038 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 905 E Michigan St, Orlando, Florida |
| Authorized Official Name and Position | Deborah Primo Hunt (OFFICE MANAGER) |
| Authorized Official Contact | 4078434091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
905 E Michigan St Orlando FL 32806-4702 Ph: (407) 843-4091 | 905 E Michigan St Orlando FL 32806-4702 Ph: (407) 843-4091 |
| NPI Number | 1518088095 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 02/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518088095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7801 (Florida) | Primary |
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