Organization
KLA IMPLANTS & ORAL SURGERY CENTER, PLLC
Active
Other names
Winter Garden Implants & Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH L ANDERSON III DDS (CEO, ORAL SURGEON)
(312) 402-3250
Entity
Organization
Contact information
Practice address
970 WINDERMERE ROAD, BUILDING 11, WINTER GARDEN, FL 34787
(312) 402-3250
Mailing address
970 WINDERMERE ROAD, BUILDING 11, WINTER GARDEN, FL 34787
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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