Sunshine Dental Of Orange City P.a. | |
2490 Enterprise Rd Orange City FL 32763 | |
(386) 775-9366 | |
(386) 775-2390 |
Full Name | Sunshine Dental Of Orange City P.a. |
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Speciality | Clinic/center - Dental |
Location | 2490 Enterprise Rd, Orange City, Florida |
Authorized Official Name and Position | Jeffrey C. Metcalfe (PRESIDENT) |
Authorized Official Contact | 3867759366 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sunshine Dental Of Orange City P.a. 2490 Enterprise Rd Orange City FL 32763 Ph: (386) 775-9366 | Sunshine Dental Of Orange City P.a. 2490 Enterprise Rd Orange City FL 32763 Ph: (386) 775-9366 |
NPI Number | 1669640710 |
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Provider Enumeration Date | 02/12/2008 |
Last Update Date | 02/12/2008 |
Identifier | Type | State | Issuer |
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1669640710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | DN12754 (Florida) | Primary |
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