Organization
COLONIAL DENTAL CARE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAI K LA DDS (OWNER,DENTIST)
(407) 299-9099
Entity
Organization
Contact information
Practice address
5074 W COLONIAL DR, ORLANDO, FL 32808-7668
(407) 299-9099
(407) 295-9505
Mailing address
5074 W COLONIAL DR, ORLANDO, FL 32808-7668
(407) 299-9099
(407) 295-9505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN-17475
FL
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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