Organization
A&M DENTAL GROUP LLC
Active
Other names
HI-5 CHILDREN'S DENTISTRY AT LAKE NONA ORLANDO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL TABARES DDS (MGRM)
(407) 810-0467
Entity
Organization
Contact information
Practice address
8255 LEE VISTA BLVD STE F-G, ORLANDO, FL 32829-8018
(407) 810-0450
Mailing address
1202 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7563
(407) 810-0450
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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