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Organization
SOUTHERN DENTAL LLC
Active
Organization
SOUTHERN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARY FREEMAN (INSURANCE COUNSLER)
(407) 656-5700
Entity
Organization
Contact information
Practice address
2560 MAGUIRE RD, OCOEE, FL 34761-4749
(407) 656-5700
Mailing address
2560 MAGUIRE RD, OCOEE, FL 34761-4749
(407) 656-5700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN12260
FL
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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