| St. Luke's Family Dentistry, P.a. | |
|
100 Burnsed Pl Suite 1000 Oviedo FL 32765-6695 | |
| (407) 366-9090 | |
| Not Available |
| Full Name | St. Luke's Family Dentistry, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 100 Burnsed Pl, Oviedo, Florida |
| Authorized Official Name and Position | Sandra Wasif (OWNER) |
| Authorized Official Contact | 4073669090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Family Dentistry, P.a. 100 Burnsed Pl Suite 1000 Oviedo FL 32765-6695 Ph: (407) 366-9090 | St. Luke's Family Dentistry, P.a. 100 Burnsed Pl Suite 1000 Oviedo FL 32765-6695 Ph: (407) 366-9090 |
| NPI Number | 1629328620 |
|---|---|
| Provider Enumeration Date | 09/17/2012 |
| Last Update Date | 09/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629328620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN15762 (Florida) | Primary |
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