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Organization
MOUNT DORA DENTAL & DENTURES
Active
Organization
MOUNT DORA DENTAL & DENTURES
Active
Parent organization
MOUNT DORA DENTAL & DENTURES
Other names
Affordable Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT DORA DENTAL & DENTURES
Authorized official
DR. SOOK JA KIM D.M.D (OWNER)
(352) 385-1971
Entity
Organization
Contact information
Practice address
2781 W OLD HIGHWAY 441, #24A, MOUNT DORA, FL 32757
(352) 385-1971
(352) 729-2239
Mailing address
2781 W OLD HIGHWAY 441, #24A, MOUNT DORA, FL 32757
(352) 385-1971
(325) 729-2239
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002879200
—
FL
Enumeration date
07/10/2008
Last updated
02/22/2011
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