Oakport Dental Sanford Pllc

NPI 1275928905 - Dentist - 1223G0001X

NPI Details
NPI 1275928905
Enumeration Date 03/31/2015
Last Updated 03/31/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name WAYNE WAYNE
Position SOLE MEMBER
Phone (407) 323-5340
Fax (407) 322-9136
Practice Location
2421 S MAPLE AVE
SANFORD FL, 32771-4269, US
Phone (407) 323-5340
Fax (407) 322-9136
Business Location
2421 S MAPLE AVE
SANFORD FL, 32771-4269, US
Phone (407) 323-5340
Fax (407) 322-9136
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Oakport Dental Sanford Pllc NPI is 1275928905, taxonomy code is 1223G0001X Oakport Dental Sanford Pllc physically located at 2421 S Maple Ave, Sanford FL, 32771-4269. NPI Number 1033115704 has the healthcare provider type.

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1275928905 NPI number is provided on an as is basis without warranty of any kind. 1275928905 is maintained by the National Plan & Provider Enumeration System. The contents of Oakport Dental Sanford Pllc are for informational purposes only.