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Organization

OAKLAND PEDIATRIC DENTISTRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WALMIR BALDOCCHI DA COSTA DMD (OWNER)
(352) 333-0070
Entity
Organization

Contact information

Practice address
15650 W COLONIAL DR STE 200, WINTER GARDEN, FL 34787-9727
(352) 333-0070
Mailing address
273 SAGECREST DR, OCOEE, FL 34761-4628
(352) 333-0070

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
08/09/2023
Last updated
12/12/2023
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