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Organization
UNIVERSITY DENTAL GROUP, PL
Active
Organization
UNIVERSITY DENTAL GROUP, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA K. ROSELLO D.M.D. (MANAGING PARTNER)
(407) 679-5151
Entity
Organization
Contact information
Practice address
4051 N DEAN RD, ORLANDO, FL 32817-3204
(407) 679-5151
(407) 679-2465
Mailing address
4051 N DEAN RD, ORLANDO, FL 32817-3204
(407) 679-5151
(407) 679-2465
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/19/2007
Last updated
03/20/2013
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