Individual
JULISSA JUSTINIANO AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10231 E COLONIAL DR, ORLANDO, FL 32817-4353
(407) 985-2885
(407) 985-2887
Mailing address
10231 E COLONIAL DR, ORLANDO, FL 32817-4353
(407) 985-2885
(407) 985-2887
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20274
FL
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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