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Organization
WILLIE B. SHERMAN JR. D.D.S. P.A.
Active
Organization
WILLIE B. SHERMAN JR. D.D.S. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIE B SHERMAN JR. D.D.S. (OWNER)
(407) 295-0674
Entity
Organization
Contact information
Practice address
3599 COLUMBIA ST, ORLANDO, FL 32805-3419
(407) 295-0674
(407) 295-9693
Mailing address
3599 COLUMBIA ST, ORLANDO, FL 32805-3419
(407) 295-0674
(407) 295-9693
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN6455
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073719401
—
FL
Enumeration date
10/09/2012
Last updated
10/09/2012
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