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Organization
OLLIE DENTAL, PLLC
Active
Organization
OLLIE DENTAL, PLLC
Active
Other names
Lifelong Dental
Organization subpart
No
Provider details
NPI number
Authorized official
STEFHANY G DUQUE ROSAS DMD (OWNER)
(239) 738-9019
Entity
Organization
Contact information
Practice address
3700 WINTER GARDEN VINELAND RD, WINTER GARDEN, FL 34787-5483
(407) 654-1296
Mailing address
4961 S ORANGE AVE, ORLANDO, FL 32806-6957
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/29/2026
Last updated
08/31/2026
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