Organization
CELEBRATION PEDIATRIC DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GOOCH (PRESIDENT)
(407) 247-8219
Entity
Organization
Contact information
Practice address
1530 CELEBRATION BLVD STE 411, CELEBRATION, FL 34747-5165
(407) 247-8219
(407) 566-4647
Mailing address
1530 CELEBRATION BLVD STE 411, CELEBRATION, FL 34747-5165
(407) 247-8219
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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