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Organization
METROWEST DENTAL CARE ,CORP
Active
Organization
METROWEST DENTAL CARE ,CORP
Active
Other names
ORTHOIMPLANT DENTAL CLINIC FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUZ AIDA OSPINA DDS (OWNER)
(208) 312-0190
Entity
Organization
Contact information
Practice address
1507 S HIAWASSEE RD STE 209, ORLANDO, FL 32835-5719
(407) 286-4750
(407) 286-4732
Mailing address
1507 S HIAWASSEE RD STE 209, ORLANDO, FL 32835-5719
(407) 286-4750
(407) 286-4703
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23632
DENTAL LICENSE
FL
Enumeration date
04/13/2021
Last updated
07/07/2022
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