Organization
THE SMILE MISSION SOUTH ORLANDO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN MARK PFUNDHELLER DMD (MANAGER)
(786) 701-8246
Entity
Organization
Contact information
Practice address
8204 CRYSTAL CLEAR LN STE 700, ORLANDO, FL 32809-7755
(786) 701-8246
Mailing address
9900 SW 168TH ST, MIAMI, FL 33157-4378
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
08/28/2023
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