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1790246411
ECONOMY DENTISTRY FOR CHILDREN - DUPONT STATION, LLC
KISSIMMEE, FL
NPI
1790246411
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Entity Type
Organization
Authorized Contact
LEROY R. POLITE
President
904-683-1769
Organization Subpart ?
Yes
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-03-26
Last Update Date
2019-07-11
Business Address
ECONOMY DENTISTRY FOR CHILDREN - DUPONT STATION, LLC
1319 E OSCEOLA PKWY STE C
KISSIMMEE, FL 34744-1606
Phone number: 904-683-1769
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Mailing Address
ECONOMY DENTISTRY FOR CHILDREN - DUPONT STATION, LLC
3615 DUPONT AVE STE 200-400
JACKSONVILLE, FL 32217-2790
Phone number: 904-683-1769
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