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Organization
OCOEE DENTAL & ORTHODONTICS, P.A.
Active
Organization
OCOEE DENTAL & ORTHODONTICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAITRI PATEL D.M.D (PRESIDENT)
(772) 539-2591
Entity
Organization
Contact information
Practice address
2910 MAGUIRE RD STE 1005, OCOEE, FL 34761-4742
(772) 539-2591
Mailing address
2910 MAGUIRE RD STE 1005, OCOEE, FL 34761-4742
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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