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Organization
PLATINUM DENTAL GROUP PA
Active
Organization
PLATINUM DENTAL GROUP PA
Active
Other names
Celebration Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D HUZYAK DMD (DENTAL DIRECTOR)
(407) 566-2222
Entity
Organization
Contact information
Practice address
400 CELEBRATION PL, A-260, CELEBRATION, FL 34747-4970
(407) 566-2222
(407) 566-1650
Mailing address
741 FRONT ST, #310, CELEBRATION, FL 34747-4991
(407) 566-2222
(407) 566-1650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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