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Organization
KISSIMMEE FAMILY DENTISTRY, PLLC
Active
Organization
KISSIMMEE FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK J MOKRIS D.M.D. (OWNER)
(407) 870-7404
Entity
Organization
Contact information
Practice address
1111 PERSON ST, KISSIMMEE, FL 34741-4146
(407) 870-7404
(407) 870-9960
Mailing address
1111 PERSON ST, KISSIMMEE, FL 34741-4146
(407) 870-7404
(407) 870-9960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 18060
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/09/2014
Last updated
12/04/2019
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