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1255816906
SOH OF FLORIDA PA
ORLANDO, FL
NPI
1255816906
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Entity Type
Organization
Authorized Contact
RAY WEBER
Regional Support Specialist
314-753-8154
Organization Subpart ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2018-09-28
Last Update Date
2018-09-28
Business Address
SOH OF FLORIDA PA
610 N MILLS AVE STE 200
ORLANDO, FL 32803-7113
Phone number: 407-674-8770
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Mailing Address
SOH OF FLORIDA PA
1422 ELBRIDGE PAYNE RD STE 240
CHESTERFIELD, MO 63017-8544
Phone number: 636-362-4986
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