Organization
GRACE DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL SANGALANG DMD (PRESIDENT)
(312) 841-3414
Entity
Organization
Contact information
Practice address
5979 VINELAND RD, SUITE 205, ORLANDO, FL 32819-7800
(407) 351-3213
Mailing address
5979 VINELAND RD, SUITE 205, ORLANDO, FL 32819-7800
(407) 351-3213
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN19152
FL
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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