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Organization
KIDZ CHOICE PEDIATRIC DENTISTRY OF CENTRAL FLORIDA
Active
Organization
KIDZ CHOICE PEDIATRIC DENTISTRY OF CENTRAL FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERESIA CHOICE (OWNER)
(407) 422-2617
Entity
Organization
Contact information
Practice address
508 N MILLS AVE, SUITE B, ORLANDO, FL 32803-5353
(407) 422-2617
(407) 841-6843
Mailing address
508 N MILLS AVE, SUITE B, ORLANDO, FL 32803-5353
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN18945
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008810400
—
FL
Enumeration date
07/31/2013
Last updated
07/31/2013
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