Organization
ELENA C PUIG, DMD, PA
Active
Other names
Dynamic Smile Design
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA C PUIG D.M.D. (OWNER/DENTIST)
(407) 895-5600
Entity
Organization
Contact information
Practice address
1600 HILLCREST ST, ORLANDO, FL 32803-4810
(407) 895-5600
Mailing address
1600 HILLCREST ST, ORLANDO, FL 32803-4810
(407) 895-5600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21934
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174676050
NPI
FL
Enumeration date
11/14/2016
Last updated
11/14/2016
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