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Organization

ULERY DENTAL AND ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRI GARDINER (CREDENTIALING COORDINATOR)
(407) 772-5124
Entity
Organization

Contact information

Practice address
1286 MARYLAND RT 3 S, CROFTON, MD 21114-1340
(410) 721-8200
(410) 721-7629
Mailing address
926 GREAT POND DR, ALTAMONTE SPRINGS, FL 32714-7244
(407) 772-5124
(407) 788-3572

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
04/11/2006
Last updated
02/18/2008
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