| Your Kissimmee Dentist Pa | |
|
1135 W Columbia Ave Kissimmee FL 34741-3202 | |
| (407) 933-4343 | |
| (407) 944-1434 |
| Full Name | Your Kissimmee Dentist Pa |
|---|---|
| Speciality | Dentist |
| Location | 1135 W Columbia Ave, Kissimmee, Florida |
| Authorized Official Name and Position | Carlos Medina (DENTIST) |
| Authorized Official Contact | 3867175458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Kissimmee Dentist Pa 13151 Paloma Dr Orlando FL 32837-8723 Ph: (808) 407-8085 | Your Kissimmee Dentist Pa 1135 W Columbia Ave Kissimmee FL 34741-3202 Ph: (407) 933-4343 |
| NPI Number | 1750115424 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750115424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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