Organization
ASHLEY PARK DENTAL ARTS
Active
Other names
Ashley Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CONNOR VAN DMD (DENTIST/ OWNER)
(617) 416-8016
Entity
Organization
Contact information
Practice address
7651 ASHLEY PARK CT STE 406, ORLANDO, FL 32835-6114
(617) 416-8016
Mailing address
7651 ASHLEY PARK CT STE 406, ORLANDO, FL 32835-6114
(617) 416-8016
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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