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Organization
KANDOR DENTAL
Active
Organization
KANDOR DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN FIGUEROA DMD (DOCTOR DIRECTOR)
(407) 542-4934
Entity
Organization
Contact information
Practice address
5515 VISTA VIEW WAY, OVIEDO, FL 32765
(407) 542-4934
Mailing address
5515 VISTA VIEW WAY, OVIEDO, FL 32765
(407) 542-4934
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
FL
1223P0221X
Pediatric Dentistry
—
FL
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN12317-99913
FL
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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