IDEAL DENTAL OF LEE VISTA

ORLANDO, FL
NPI1083203632
Entity TypeOrganization
Authorized ContactJOSHUA COUSSA
Owner
407-982-7996
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2021-01-18
Last Update Date2022-03-22
Business Address
IDEAL DENTAL OF LEE VISTA
6784 EAGLE WATCH DR STE 550
ORLANDO, FL 32822-2355
Phone number: 407-982-7996
Mailing Address
IDEAL DENTAL OF LEE VISTA
PO BOX 840925
DALLAS, TX 75284-0925
Phone number: 972-361-0600