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Organization
SUNDANCE FAMILY DENTISTRY
Active
Organization
SUNDANCE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER RYAN OSORIO DMD (DENTIST/OWNER)
(321) 837-3700
Entity
Organization
Contact information
Practice address
5380 STADIUM PKWY, SUITE 119, VIERA, FL 32955-6001
(321) 837-3700
Mailing address
5380 STADIUM PKWY, SUITE 119, VIERA, FL 32955-6001
(321) 837-3700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN17167
FL
1223G0001X
General Practice Dentistry
Primary
DN18740
FL
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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