Organization
DR AFSOON ELMORE DDS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFSOON ELMORE DDS (OWNER)
(407) 629-6464
Entity
Organization
Contact information
Practice address
668 N ORLANDO AVE, SUITE1008, MAITLAND, FL 32751-4473
(407) 629-6464
(407) 629-0031
Mailing address
668 N ORLANDO AVE, SUITE1008, MAITLAND, FL 32751-4473
(407) 629-6464
(407) 629-0031
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN16958
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075545100
—
FL
Enumeration date
02/02/2015
Last updated
02/02/2015
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