# BARAK DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184069064
- **Authorized official:** DR. JANICE SISTRUNK- CARLTON DDS (DENTIST)
- **Authorized official phone:** (407) 299-3232

## Contact information

- **Practice address:** 2608 PIONEER RD, ORLANDO, FL 32808-3221
- **Practice address phone:** (407) 299-3232
- **Mailing address:** 2608 PIONEER RD, ORLANDO, FL 32808
- **Mailing address phone:** (407) 299-3232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DN9771 | FL | Yes |

## Other

- **Enumeration date:** 05/06/2013
- **Last updated:** 05/06/2013