Organization
MODIANO DENTAL LLC
Active
Other names
Dental team Of Ocala Jasmine Park
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATHANASIOS KOKKAS DDS (OWNER)
(205) 999-9527
Entity
Organization
Contact information
Practice address
7586 SW 61ST AVE, OCALA, FL 34476-8310
(352) 840-7077
Mailing address
1123 SE 45TH ST, OCALA, FL 34480-4701
(352) 494-1153
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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