FL SOUTHERN DENTAL PPO PA

WINTER PARK, FL
NPI1679379523
Doing Business AsACUNA DENTISTRY
Entity TypeOrganization
Authorized ContactERIKA MELISSA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2025-02-21
Last Update Date2025-02-21
Business Address
FL SOUTHERN DENTAL PPO PA
1100 N KENTUCKY AVE
WINTER PARK, FL 32789-4741
Phone number: 407-647-6261
Mailing Address
FL SOUTHERN DENTAL PPO PA
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: