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Organization
PLATINUM DENTAL GROUP
Active
Organization
PLATINUM DENTAL GROUP
Active
Other names
Celebration Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D HUZYAK DMD (DIRECTOR)
(407) 566-2222
Entity
Organization
Contact information
Practice address
2940 MALLORY CIR, SUITE 101, CELEBRATION, FL 34747-1818
(407) 566-2222
Mailing address
2940 MALLORY CIR, SUITE 101, CELEBRATION, FL 34747-1818
(407) 566-2222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DH 20940
FL
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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