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Organization

PINE DENTAL HEALTH, PA

Active
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Organization

PINE DENTAL HEALTH, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KAP S HAN (VICE PRESIDENT)
(407) 290-9568
Entity
Organization

Contact information

Practice address
1429 N PINE HILLS RD, ORLANDO, FL 32808-4424
(407) 290-9568
(407) 290-9772
Mailing address
1429 N PINE HILLS RD, ORLANDO, FL 32808-4424
(407) 290-9568
(407) 290-9772

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN14401
FL
1223G0001X
General Practice Dentistry
Primary
DN19149
FL

Other

Enumeration date
02/17/2016
Last updated
02/17/2016
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