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Organization
ST. LUKE'S FAMILY DENTISTRY, P.A.
Active
Organization
ST. LUKE'S FAMILY DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA WASIF DDS (OWNER)
(407) 366-9090
Entity
Organization
Contact information
Practice address
100 BURNSED PL, SUITE 1000, OVIEDO, FL 32765-6695
(407) 366-9090
Mailing address
100 BURNSED PL, SUITE 1000, OVIEDO, FL 32765-6695
(407) 366-9090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15762
FL
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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