Organization
EQ DENTAL 1 PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODOLFO OLMOS DDS (OWNER)
(407) 857-8585
Entity
Organization
Contact information
Practice address
500 N SEMORAN BLVD, ORLANDO, FL 32807-3381
(407) 857-8585
Mailing address
9753 S ORANGE BLOSSOM TRL STE 105, ORLANDO, FL 32837-8998
(407) 857-8585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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