Organization
ALTAMONTE ORAL & MAXILLOFACIAL SURGERY LLC
Active
Organization
ALTAMONTE ORAL & MAXILLOFACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUGNU DHAMIJA DMD (OWNER/DENTIST)
(321) 246-6027
Entity
Organization
Contact information
Practice address
659 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701-6860
(321) 246-6027
Mailing address
659 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701-6860
(321) 246-6027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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