Organization
PEDIATRIC DENTAL GROUP
Active
Other names
Pediatric Dental Group Winter Park
Organization subpart
No
Provider details
NPI number
Authorized official
OLUBISI AINA DMD (OWNER)
(407) 737-7767
Entity
Organization
Contact information
Practice address
5518 LAKE HOWELL RD, WINTER PARK, FL 32792-1036
(407) 737-7767
(407) 737-0769
Mailing address
5518 LAKE HOWELL RD, WINTER PARK, FL 32792-1036
(407) 737-7767
(407) 737-0769
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
FL
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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