Individual
DR. AFSOON ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2715 LAKEVIEW DR, FERN PARK, FL 32730-2005
(407) 260-0669
(407) 629-0031
Mailing address
2715 LAKEVIEW DR, FERN PARK, FL 32730-2005
(407) 260-0669
(407) 629-0031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16958
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075545100
—
FL
Enumeration date
05/23/2006
Last updated
07/08/2007
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