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Organization
FLORIDA CONCIERGE DENTAL CARE, P.A.
Active
Organization
FLORIDA CONCIERGE DENTAL CARE, P.A.
Active
Other names
Orlando Lifestyle Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GAGAOUDAKIS D.M.D. (PRESIDENT)
(954) 830-0030
Entity
Organization
Contact information
Practice address
6000 TURKEY LAKE RD, #109, ORLANDO, FL 32819-4200
(407) 547-6453
Mailing address
6000 TURKEY LAKE RD, #109, ORLANDO, FL 32819-4200
(407) 547-6453
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN17757
FL
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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