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1821609454
IDEAL DENTAL OF LAKE NONA PLLC
ORLANDO, FL
NPI
1821609454
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Entity Type
Organization
Authorized Contact
JOSHUA COUSSA
Owner
972-331-8079
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2020-08-17
Last Update Date
2023-10-02
Business Address
IDEAL DENTAL OF LAKE NONA PLLC
12851 NARCOOSSEE RD STE 102
ORLANDO, FL 32832-7156
Phone number: 407-749-1560
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Mailing Address
IDEAL DENTAL OF LAKE NONA PLLC
PO BOX 840925
DALLAS, TX 75284-0925
Phone number: 972-361-0600
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