| Vitral Orthodontics Pa | |
|
114 Wilshire Blvd Casselberry FL 32707-5345 | |
| (407) 907-6361 | |
| Not Available |
| Full Name | Vitral Orthodontics Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 114 Wilshire Blvd, Casselberry, Florida |
| Authorized Official Name and Position | Lillelenny Santana (PRESIDENT) |
| Authorized Official Contact | 4079076361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitral Orthodontics Pa 114 Wilshire Blvd Casselberry FL 32707-5345 Ph: (407) 907-6361 | Vitral Orthodontics Pa 114 Wilshire Blvd Casselberry FL 32707-5345 Ph: (407) 907-6361 |
| NPI Number | 1245795194 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 02/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245795194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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