Organization
FAMILY DENTISTRY & DENTAL SPECIALISTS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANMOHAN BATTA BDS,MDS,MS (PRESIDENT)
(407) 421-6888
Entity
Organization
Contact information
Practice address
4250 TOWN CENTER BLVD, ORLANDO, FL 32837-6192
(407) 856-0208
Mailing address
9336 SOUTHERN BREEZE DR, ORLANDO, FL 32836-5056
(407) 421-6888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
P96000000303
FL
Other
Enumeration date
02/23/2013
Last updated
02/23/2013
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