Organization
FADI ASSAF DDS III PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADI ASSAF (PRESIDENT)
(407) 850-0133
Entity
Organization
Contact information
Practice address
2067 AMERICANA BLVD, ORLANDO, FL 32839-2176
(407) 850-0133
(407) 850-0485
Mailing address
2067 AMERICANA BLVD, ORLANDO, FL 32839-2176
(407) 850-0133
(407) 850-0485
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17205
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009572200
—
FL
Enumeration date
02/12/2014
Last updated
02/12/2014
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