Organization
PEDIATRIC DENTISTRY AT LAKE NONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUBISI OLUTOSIN AINA DMD (CO-OWNER)
(407) 737-7767
Entity
Organization
Contact information
Practice address
9161 NARCOOSSEE RD, 101B, ORLANDO, FL 32827-5764
(407) 737-7767
Mailing address
9161 NARCOOSSEE RD, 101B, ORLANDO, FL 32827-5764
(407) 737-7767
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
17111
FL
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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