Organization
LANDSTAR DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEYDI P CARDENAS (PRESIDENT)
(321) 298-2593
Entity
Organization
Contact information
Practice address
13807 LANDSTAR BLVD STE 154, ORLANDO, FL 32824-5530
(321) 298-2593
Mailing address
13807 LANDSTAR BLVD STE 154, ORLANDO, FL 32824-5530
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN19952
FL
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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