Organization
PEDIATRIC DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUBISI ALNA DMD (CO-OWNER)
(407) 737-7767
Entity
Organization
Contact information
Practice address
12601 NARCOOSSEE RD, UNITE 100A, ORLANDO, FL 32832
(407) 737-7767
(407) 737-0769
Mailing address
9161 NARCOOSSEE RD, STE 101B, ORLANDO, FL 32827
(407) 737-7767
(407) 737-0769
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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