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Organization
EDS DENTAL CLINIC INC
Active
Organization
EDS DENTAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS ANTONIO RIVERO DMD (CEO/OWNER)
(407) 923-7433
Entity
Organization
Contact information
Practice address
251 E MICHIGAN ST, ORLANDO, FL 32806-4537
(407) 803-4043
Mailing address
251 E MICHIGAN ST, ORLANDO, FL 32806-4537
(407) 803-4043
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN19106
FL
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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