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Organization

KISSIMMEE DENTAL ASSOCIATES PA

Active
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Organization

KISSIMMEE DENTAL ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOROTHY A THOMSEN DDS (OWNER PRESIDENT DENTIST)
(407) 847-2103
Entity
Organization

Contact information

Practice address
324 PLEASANT STREET, KISSIMMEE, FL 34741-5732
(407) 847-2103
(407) 847-5042
Mailing address
324 PLEASANT STREET, KISSIMMEE, FL 34741-5732
(407) 847-2103
(407) 847-5042

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12975
FL
1223G0001X
General Practice Dentistry
13033
FL

Other

Enumeration date
03/26/2007
Last updated
11/28/2007
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