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Organization
MARY R. ISAACS, D.M.D., P.A.
Active
Organization
MARY R. ISAACS, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ROSE ISAACS D.M.D. (PRESIDENT)
(407) 696-5210
Entity
Organization
Contact information
Practice address
5965 RED BUG LAKE RD, SUITE 233, WINTER SPRINGS, FL 32708-5080
(407) 696-5210
(407) 696-6488
Mailing address
5965 RED BUG LAKE RD, SUITE 233, WINTER SPRINGS, FL 32708-5080
(407) 696-5210
(407) 696-6488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 13097
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
642592
UNITED CONCORDIA
—
01
—
69975
BLUE CROSS/BLUE SHIELD
—
Enumeration date
09/14/2006
Last updated
08/22/2020
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