Organization
KIDZ CHOICE PEDIATRIC DENTISTRY OF CENTRAL FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERESIA CHOICE (OWNER)
(407) 422-2617
Entity
Organization
Contact information
Practice address
508 N MILLS AVE, SUITE B, ORLANDO, FL 32803-5353
(407) 422-2617
(407) 841-6843
Mailing address
508 N MILLS AVE, SUITE B, ORLANDO, FL 32803-5353
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN18945
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008810400
—
FL
Enumeration date
07/31/2013
Last updated
07/31/2013
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