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Organization
TOWNCARE DENTAL OF WINTER PARK, P.A.
Active
Organization
TOWNCARE DENTAL OF WINTER PARK, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GOMEZ (PROVIDER RELATIONS SPECIALIST)
(305) 274-2499
Entity
Organization
Contact information
Practice address
1713 W FAIRBANKS AVE, WINTER PARK, FL 32789-4605
(407) 629-1804
Mailing address
13195 SW 134TH ST FL 2, MIAMI, FL 33186-4461
(305) 274-2499
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
05/24/2011
Last updated
10/13/2015
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