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Organization
WEKIVA PLACE, PA
Active
Organization
WEKIVA PLACE, PA
Active
Parent organization
WEKIVA PLACE, PA
Other names
Wekiva Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEKIVA PLACE, PA
Authorized official
DR. MARK S. OFFENBACK D.D.S. (PRESIDENT)
(407) 869-7333
Entity
Organization
Contact information
Practice address
686 N HUNT CLUB BLVD, WEKIVA PLACE, SUITE 100, LONGWOOD, FL 32779-2218
(407) 869-7333
(407) 869-5720
Mailing address
686 N HUNT CLUB BLVD, WEKIVA PLACE, SUITE 100, LONGWOOD, FL 32779-2218
(407) 869-7333
(407) 869-5720
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10359
FL
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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