Organization
METROWEST DENTAL CARE ,CORP
Active
Other names
ORTHOIMPLANT DENTAL CLINIC FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUZ AIDA OSPINA DDS (OWNER)
(208) 312-0190
Entity
Organization
Contact information
Practice address
1507 S HIAWASSEE RD STE 209, ORLANDO, FL 32835-5719
(407) 286-4750
(407) 286-4732
Mailing address
1507 S HIAWASSEE RD STE 209, ORLANDO, FL 32835-5719
(407) 286-4750
(407) 286-4703
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23632
DENTAL LICENSE
FL
Enumeration date
04/13/2021
Last updated
07/07/2022
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