PROVIDENCE DENTAL LLC

ORLANDO, FL
NPI1407330145
Entity TypeOrganization
Authorized ContactNADIA KAHOOK
Credentialing Consultant
954-446-5797
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2018-09-19
Last Update Date2018-09-19
Business Address
PROVIDENCE DENTAL LLC
12450 E. COLONIAL DRIVE SUITE 124
ORLANDO, FL 32826
Phone number: 407-635-0704
Mailing Address
PROVIDENCE DENTAL LLC
12450 E. COLONIAL DRIVE SUITE 124
ORLANDO, FL 32826
Phone number: 407-635-0704
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