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Organization
CENTRAL FLORIDA DENTAL GROUP, INC.
Active
Organization
CENTRAL FLORIDA DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS RODOLFO ORTIZ DDS (PRESIDENT)
(407) 654-4024
Entity
Organization
Contact information
Practice address
16215 STATE ROAD 50 STE 102, CLERMONT, FL 34711-6019
(407) 654-4024
(407) 654-4027
Mailing address
16215 STATE ROAD 50 STE 102, CLERMONT, FL 34711-6019
(407) 654-4024
(407) 654-4027
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN16410
FL
Other
Enumeration date
03/21/2007
Last updated
07/25/2011
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