Organization
ORANGE AVENUE DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NABIL NAGUIB YOUSSEF JR. DMD (OWNER/DENTIST)
(407) 426-9933
Entity
Organization
Contact information
Practice address
2116 S. ORANGE AVE., ORLANDO, FL 32806
(407) 426-9933
(407) 426-9032
Mailing address
2116 S ORANGE AVE, ORLANDO, FL 32806-3037
(407) 426-9933
(407) 426-9032
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DN16092
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003787800
—
FL
Enumeration date
02/09/2012
Last updated
02/09/2012
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