Organization
FRONT STREET FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L NELSON JR. DMD (OWNER)
(407) 566-1146
Entity
Organization
Contact information
Practice address
609 FRONT ST, CELEBRATION, FL 34747
(407) 566-1146
(407) 566-1715
Mailing address
609 FRONT ST, CELEBRATION, FL 34747
(407) 566-1146
(407) 566-1715
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014410
FL
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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