Organization
VINELAND MODERN DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA VAUGHN (OFFICE MANAGER)
(407) 352-6001
Entity
Organization
Contact information
Practice address
6001 VINELAND RD STE 119, ORLANDO, FL 32819-7829
(407) 352-6001
Mailing address
6001 VINELAND RD STE 119, ORLANDO, FL 32819-7829
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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