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5979 Vineland Rd Suite 205 Orlando FL 32819-7800 | |
| (407) 351-3213 | |
| (407) 351-4188 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5979 Vineland Rd, Orlando, Florida |
| Authorized Official Name and Position | Franklin M. Watson Ii (PRESIDENT) |
| Authorized Official Contact | 40073513213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5979 Vineland Rd Suite 205 Orlando FL 32819-7800 Ph: (407) 351-3213 | 5979 Vineland Rd Suite 205 Orlando FL 32819-7800 Ph: (407) 351-3213 |
| NPI Number | 1720197098 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720197098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8301 (Florida) | Primary |
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