Organization
LOMA DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN ACOSTA DMD (OWNER/DENTIST)
(321) 301-5818
Entity
Organization
Contact information
Practice address
4401 E COLONIAL DR STE 108, ORLANDO, FL 32803-5200
(407) 228-2251
(407) 228-2252
Mailing address
4401 E COLONIAL DR STE 108, ORLANDO, FL 32803-5200
(407) 228-2251
(407) 228-2252
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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