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Organization
ECON DENTAL PLLC
Active
Organization
ECON DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS CARMELO GAUD DMD (PRESIDENT)
(321) 972-8312
Entity
Organization
Contact information
Practice address
3823 N ECONLOCKHATCHEE TRL UNIT D-4, ORLANDO, FL 32817-1640
(321) 972-8312
Mailing address
2529 BLACK LAKE BLVD, WINTER GARDEN, FL 34787-4756
(321) 972-8312
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN17231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013926377
NPI DR. OMAYRA TORRES
PR
01
—
1386845725
NPI DR. LUIS C. GAUD
PR
Enumeration date
03/29/2009
Last updated
03/29/2009
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