| W. K. Fravel, D.m.d., P.a. | |
|
1291 Blackwood Ave Ocoee FL 34761-4521 | |
| (407) 656-0001 | |
| (407) 656-5290 |
| Full Name | W. K. Fravel, D.m.d., P.a. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1291 Blackwood Ave, Ocoee, Florida |
| Authorized Official Name and Position | Jeanne A. Fravel (OFFICE MANAGER) |
| Authorized Official Contact | 4076560001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W. K. Fravel, D.m.d., P.a. 1291 Blackwood Ave Ocoee FL 34761-4521 Ph: (407) 656-0001 | W. K. Fravel, D.m.d., P.a. 1291 Blackwood Ave Ocoee FL 34761-4521 Ph: (407) 656-0001 |
| NPI Number | 1346303658 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 05/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346303658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8872 (Florida) | Primary |
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