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Organization
JP COSMETIC DENTISTRY, INC.
Active
Organization
JP COSMETIC DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOULY PIERRE JEAN-PHILIPPE DDS (PA/OWNER)
(407) 295-0444
Entity
Organization
Contact information
Practice address
1201 WINTER GARDEN VINELAND RD STE 10, WINTER GARDEN, FL 34787-4380
(407) 295-0444
Mailing address
1201 WINTER GARDEN VINELAND RD STE 10, WINTER GARDEN, FL 34787-4380
(407) 295-0444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16098
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006593500
—
FL
Enumeration date
02/22/2013
Last updated
02/22/2013
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