PORT ORANGE MODERN DENTISTRY, PA

PORT ORANGE, FL
NPI1982179818
Entity TypeOrganization
Authorized ContactMINH B PHAM
Owner/Gp
386-259-3905
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2018-10-08
Last Update Date2022-08-25
Business Address
PORT ORANGE MODERN DENTISTRY, PA
1765 DUNLAWTON AVE. SUITE 103
PORT ORANGE, FL 32129
Phone number: 386-259-3905
Mailing Address
PORT ORANGE MODERN DENTISTRY, PA
PO BOX 920050
DALLAS, TX 75392-0050
Phone number: 714-845-8890
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