Organization
AVALON DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFREDO A PAIROT DDS (PRESIDENT)
(386) 277-2860
Entity
Organization
Contact information
Practice address
101 HEAVENSGATE RD, E, DELAND, FL 32720-1100
(386) 277-2860
Mailing address
101 HEAVENSGATE RD, E, DELAND, FL 32720-1100
(386) 277-2860
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN12941
FL
Other
Enumeration date
10/08/2013
Last updated
10/08/2013
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