| Sundance Family Dentistry | |
|
5380 Stadium Pkwy Suite 119 Viera FL 32955-6001 | |
| (321) 837-3700 | |
| Not Available |
| Full Name | Sundance Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5380 Stadium Pkwy, Viera, Florida |
| Authorized Official Name and Position | Christopher Ryan Osorio (DENTIST/OWNER) |
| Authorized Official Contact | 3218373700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sundance Family Dentistry 5380 Stadium Pkwy Suite 119 Viera FL 32955-6001 Ph: (321) 837-3700 | Sundance Family Dentistry 5380 Stadium Pkwy Suite 119 Viera FL 32955-6001 Ph: (321) 837-3700 |
| NPI Number | 1386009017 |
|---|---|
| Provider Enumeration Date | 12/23/2015 |
| Last Update Date | 12/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386009017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN18740 (Florida) | Primary |
| 1223G0001X | Dentist - General Practice | DN17167 (Florida) | Secondary |
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