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1083203632
IDEAL DENTAL OF LEE VISTA
ORLANDO, FL
NPI
1083203632
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Entity Type
Organization
Authorized Contact
JOSHUA COUSSA
Owner
407-982-7996
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2021-01-18
Last Update Date
2022-03-22
Business Address
IDEAL DENTAL OF LEE VISTA
6784 EAGLE WATCH DR STE 550
ORLANDO, FL 32822-2355
Phone number: 407-982-7996
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Mailing Address
IDEAL DENTAL OF LEE VISTA
PO BOX 840925
DALLAS, TX 75284-0925
Phone number: 972-361-0600
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