Organization
MDD DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA J MILLER (INSURANCE COORDINATOR)
(321) 431-2208
Entity
Organization
Contact information
Practice address
3207 S FLORIDA AVE, LAKELAND, FL 33803-4550
(863) 606-6006
Mailing address
5095 PEE DEE LN, MURRELLS INLET, SC 29576-5427
(321) 431-2208
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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