Windermere Dentistry | |
4769 The Grove Dr. Suite 100 Windermere FL 34786 | |
(407) 909-1099 | |
Not Available |
Full Name | Windermere Dentistry |
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Speciality | Dentist |
Location | 4769 The Grove Dr., Windermere, Florida |
Authorized Official Name and Position | Matthew Dean Mckissock (OWNER/PRESIDENT) |
Authorized Official Contact | 4079091099 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Windermere Dentistry 4769 The Grove Dr. Suite 100 Windermere FL 34786 Ph: (407) 909-1099 | Windermere Dentistry 4769 The Grove Dr. Suite 100 Windermere FL 34786 Ph: (407) 909-1099 |
NPI Number | 1831459551 |
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Provider Enumeration Date | 05/29/2012 |
Last Update Date | 05/29/2012 |
Identifier | Type | State | Issuer |
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1831459551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | DN16810 (Florida) | Primary |
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