Organization
AESTHETIC AND GENERAL DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFREDO MALLARE GAPUZ JR. D.M.D. (DENTIST)
(407) 251-5100
Entity
Organization
Contact information
Practice address
14009 EGRET TOWER DR, ORLANDO, FL 32837-6197
(407) 251-5100
(407) 251-4397
Mailing address
14009 EGRET TOWER DR, ORLANDO, FL 32837-6197
(407) 251-5100
(407) 251-4397
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN13068
FL
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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