# KANDOR DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568878759
- **Authorized official:** MR. RUBEN FIGUEROA DMD (DOCTOR DIRECTOR)
- **Authorized official phone:** (407) 542-4934

## Contact information

- **Practice address:** 5515 VISTA VIEW WAY, OVIEDO, FL 32765
- **Practice address phone:** (407) 542-4934
- **Mailing address:** 5515 VISTA VIEW WAY, OVIEDO, FL 32765
- **Mailing address phone:** (407) 542-4934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | FL | — |
| 1223P0221X | Pediatric Dentistry | — | FL | — |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN12317-99913 | FL | Yes |

## Other

- **Enumeration date:** 07/08/2014
- **Last updated:** 07/08/2014