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Organization
IDEAL DENTAL OF UNIVERSITY POINTE PLLC
Active
Organization
IDEAL DENTAL OF UNIVERSITY POINTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA COUSSA DMD (OWNER)
(972) 331-8079
Entity
Organization
Contact information
Practice address
11871 UNIVERSITY BLVD STE 120, ORLANDO, FL 32817-2130
(407) 982-7661
(407) 543-2516
Mailing address
PO BOX 840925, DALLAS, TX 75284-0925
(972) 361-0600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
10/02/2023
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