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Organization
TREVISANI ORAL SURGERY ORLANDO PLC
Active
Organization
TREVISANI ORAL SURGERY ORLANDO PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMI VARGAS (OFFICE MANAGER)
(407) 886-2050
Entity
Organization
Contact information
Practice address
10967 LAKE UNDERHILL RD STE 144, ORLANDO, FL 32825-4456
(407) 764-9900
(407) 764-9902
Mailing address
511 WEKIVA COMMONS CIR, APOPKA, FL 32712-3645
(407) 886-2050
(407) 886-2117
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN13576
FL
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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