| Trevisani Oral Surgery Orlando Plc | |
|
10967 Lake Underhill Rd Ste 144 Orlando FL 32825-4456 | |
| (407) 764-9900 | |
| (407) 764-9902 |
| Full Name | Trevisani Oral Surgery Orlando Plc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 10967 Lake Underhill Rd Ste 144, Orlando, Florida |
| Authorized Official Name and Position | Tami Vargas (OFFICE MANAGER) |
| Authorized Official Contact | 4078862050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trevisani Oral Surgery Orlando Plc 511 Wekiva Commons Cir Apopka FL 32712-3645 Ph: (407) 886-2050 | Trevisani Oral Surgery Orlando Plc 10967 Lake Underhill Rd Ste 144 Orlando FL 32825-4456 Ph: (407) 764-9900 |
| NPI Number | 1154838365 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 01/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154838365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN13576 (Florida) | Primary |
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