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Organization
LAKE NONA DENTAL GROUP PLC
Active
Organization
LAKE NONA DENTAL GROUP PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J YANTORNI DDS (PRESIDENT - OWNER)
(407) 277-1779
Entity
Organization
Contact information
Practice address
10429 MOSS PARK RD, ORLANDO, FL 32832
(407) 277-1779
Mailing address
10429 MOSS PARK RD, ORLANDO, FL 32832
(407) 277-1779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN11000
FL
1223G0001X
General Practice Dentistry
DN16803
FL
1223G0001X
General Practice Dentistry
DN17985
FL
Other
Enumeration date
04/11/2007
Last updated
12/10/2008
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