Universal Smiles Dentistry Pa

NPI 1578999462 - Clinic/Center - 261QD0000X

NPI Details
NPI 1578999462
Enumeration Date 09/24/2013
Last Updated 09/24/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SURENDRA G SURENDRA
Position PRACTICE MANAGER
Phone (407) 910-1178
Fax
Practice Location
6735 CONROY WINDERMERE RD
SUITE# 202
ORLANDO FL, 32835-3565, US
Phone (407) 910-1178
Fax
Business Location
6735 CONROY WINDERMERE RD
SUITE# 202
ORLANDO FL, 32835-3565, US
Phone (407) 910-1178
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Florida
License Number DN17923
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According to our database, Universal Smiles Dentistry Pa NPI is 1578999462, taxonomy code is 261QD0000X and license number is DN17923, license state is located at Florida. Universal Smiles Dentistry Pa physically located at 6735 Conroy Windermere Rd, Orlando FL, 32835-3565. NPI Number 1033115704 has the healthcare provider type.

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1578999462 NPI number is provided on an as is basis without warranty of any kind. 1578999462 is maintained by the National Plan & Provider Enumeration System. The contents of Universal Smiles Dentistry Pa are for informational purposes only.