Organization
ADVANCED DENTAL CARE OF LONGWOOD PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
505 WEKIVA SPRINGS RD, 100, LONGWOOD, FL 32779-6190
(407) 786-2552
Mailing address
505 WEKIVA SPRINGS RD, 100, LONGWOOD, FL 32779-6190
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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