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Organization
SOH OF FLORIDA PA
Active
Organization
SOH OF FLORIDA PA
Active
Parent organization
SOH OF FLORIDA PA
Other names
Oasis Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOH OF FLORIDA PA
Authorized official
RAY WEBER (SUPPORT SPECIALIST)
(407) 674-8770
Entity
Organization
Contact information
Practice address
610 N MILLS AVE STE 200, ORLANDO, FL 32803-7113
(407) 674-8770
Mailing address
1422 ELBRIDGE PAYNE RD STE 240, CHESTERFIELD, MO 63017-8544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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