| Waterford Chase Dental | |
|
801 Woodbury Rd Suite 102 Orlando FL 32828-4514 | |
| (407) 674-6890 | |
| (407) 674-6891 |
| Full Name | Waterford Chase Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 801 Woodbury Rd, Orlando, Florida |
| Authorized Official Name and Position | Enea Bifsha (OWNER) |
| Authorized Official Contact | 4076746890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterford Chase Dental 801 Woodbury Rd Suite 102 Orlando FL 32828-4514 Ph: (407) 674-6890 | Waterford Chase Dental 801 Woodbury Rd Suite 102 Orlando FL 32828-4514 Ph: (407) 674-6890 |
| NPI Number | 1821471038 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821471038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN19721 (Florida) | Primary |
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