Organization
CREATIVE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMER ALSHAREEF DDS (OWNER)
(407) 831-1203
Entity
Organization
Contact information
Practice address
10231 E COLONIAL DR, ORLANDO, FL 32817-4353
(407) 985-2885
(407) 985-2887
Mailing address
604 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701-6834
(407) 831-1203
(407) 831-9716
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
10/14/2019
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